Abstract
外科手術後病人加護照顧必要性的考量非僅限於本身疾病嚴重度，同時也與外科手術的侵襲程度有關。故在外科手術後病人入住加護病房與否的考量上，僅使用過去傳統的APACHE-II去評估是不夠的。在沒有評估手術本身可能造成的風險上，常會有低估外科病人的狀況。同時，APACHE-II也未考量外科手術病人在預期加護病房照顧所衍生的快速恢復與減少風險（包括健康與法律）考量。故一種同時考量疾病與手術嚴重度的尺標－波森指標計分(POSSUM score)將可預期對於外科手術後病人風險程度，以及入住加護病房必要性提供更客觀與接近事實的資訊。展望未來，這項指標應可配合傳統APACHE指標協同評估手術後病人，提供術後風險與入住加護病房必要性更多有價值的資訊與參考。
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