Effectiveness of the APACHE II Scoring System in an Intensive Care Unit: Results of a Prospective Study
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 8, Issue 12
Abstract
Background: The high cost of intensive care unit (ICU) services and limitations in health resources can prompt managers to use predictive scoring systems. Objective: To evaluate the role of APACHE II as a scoring system to predict outcomes and to compare actual and expected mortality rates. Methods: This prospective study was conducted in a10-bed, mixed ICU at Namazi University Hospital, a teaching hospital in Shiraz, Iran. All patients were included consecutively and data were collected during the first 24 h of admission. Statistical analyses were done with SPSS v.16 software. The differences were considered statistically significant at a P value of <0.05. Results: From June to November of 2013, data were available for 110 (61.4%) ICU admission. The patients’ mean (SD) age was 55.1 (17.7) years. Mean APACHE II score was 17.85±7.4. The total standardized mortality ratio (SMR) was 0.92, and the ratio ranged from 0.48 in medical patients to 1.22 in post-elective surgery patients. With the sensitivity 18.5% and specificity 92.8%, the highest correct classification was obtained at predicted death risk 0.6 (74.5%). Conclusion: We recommend the use of this outcome prediction score for decision-making and classifying patients based on the degree of severity of their diseases in our setting. Further work is needed with larger sample sizes to more precisely determine the generalisability of our results and evaluate validity of this outcome prediction score.
Authors and Affiliations
Hamideh Mahdaviazad, Mohamadhadi Imanieh, Seyedmasoom Masoompour
Keywords
Related Articles
- EP ID EP347755
- DOI 10.9734/BJMMR/2015/15604
- Views 83
- Downloads 0
Chest Radiographic Patterns of Smear Positive Tuberculosis in Relation to HIV: A Cross-Sectional Study in a Population with a High Burden of HIV and Tuberculosis
Aim: The purpose of this study was to investigate the chest radiographic patterns of smear positive pulmonary tuberculosis patients in relation to HIV co-infection. Study Deign: Cross-sectional descriptive study Place a...
Pathogenesis and Mutations of Myeloproliferative Neoplasms: An Overview
Chronic myeloproliferative neoplasms (MPNs), clonal disorders of hematopoietic system resulting in abnormal proliferation of one or more hematopoietic cell lineages, express different clinical, hematologic and biological...
Neonatal Gastric Perforation: A Report of Three Cases
Gastric perforation in neonates is an unusual, serious and catastrophic condition. Although ischemic, traumatic and spontaneous mechanisms have been proposed for gastric perforation, the exact etiology is not clear. Both...
Influence of Culturally-based Abdominal Massage and Antenatal Care Uptake among Pregnant Women in a Tertiary Hospital in Southern Nigeria
Background: Abdominal massage in pregnancy has been reported for thousands of years in many societies and cultures all over the globe. They have been mostly culturally based and benefits to the pregnant women have been c...
Self Esteem among Adolescents in Nigerian Secondary Schools: A Neglected Issue
Background: Self esteem among adolescents is a neglected issue in pediatrics, especially in this part of the world. Females ages fourteen to seventeen seemed to have positive self-esteem and so do the males but self este...