A study on APACHE II severity scoring system in Intensive Care Unit Hospital University Sains Malaysia
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Date
2001-11
Authors
Mohamad Zaini, Rhendra Hardy
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Severity scoring system have been widely used for assessment of patients admitted to
intensive care unit whether to see the physiological derangement or the effectiveness
of the treatment and prediction of mortality rate. APACHE II is the most commonly
used severity scoring system because it is user friendly and easily available. For the
past 12 months between January 2000 to December 2000, a total of 180 patients were
admitted to the intensive care unit, Hospital University Sains Malaysia. Admission
was based upon the criteria that have been tailored towards the study.
Admission was either from general medical/surgical wards, accident and emergency
unit or postoperatively. Post emergency operation patients contribute the most
admission, 52.8%. Majority of patients were less than 44 years old, 55.0% and 91.1%
were Malays. Since Hospital University Sains Malaysia is a referral center for
Neurosurgical cases in the East Coast, 43.3% of patients were neurosurgical patients.
The minimum APACHE ll score was 0 and the maximum was 39, with most patients
with APACHE II scores range in between 6-10 (25.6%). All patients with APACHE
IT score more than 25 had 100% mortality rate .
There was statistically significant different between the observed mortality and
predicted mortality with p < 0. 0001. The power of correct prediction of mortality was
70.9%.
Description
Keywords
APACHE II