39 a. Premier temps ,
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indice de gravité simplifié (IGS) ou Simplified Acute Physiology Score en anglais est un système simplifié d'évaluation de la sévérité des patients admis en service de réanimation. La première version du score IGS a été créée d'une critique du premier système APACHE (Acute Physiologic and Chronic Health Evaluation) ,
cotés entre 1 à 26 points, à partir des données les plus péjoratives survenant au cours des 24 premières heures passées dans le service de réanimation. Il prend également en compte le type d'entrée : chirurgicale programmée, chirurgicale urgente ou médicale, et retient plusieurs facteurs de gravité préexistants à l'entrée, qui sont une maladie hématologique ou le sida ,