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 80
- Downloads 0
Splenic Rupture after Infective Endocarditis by Enterococcus faecalis: Case Report
Aims: In patients with infective endocarditis, with risk of embolization, early identification of parenchymal changes may suggest the risk of splenic rupture. Presentation of Case: A 68-year-old male presented with a his...
Role of Actinomyces and Helicobacter pylori in Obstructive Sleep Apnea Syndrome (OSAS) in Children
Background: Obstructive hyperplasia causing obstructive sleep apnea syndrome (OSAS) is one of the most common conditions indicating tonsillectomy. Actinomycosis and H. pylori were assumed to have a role in tonsillar hype...
Clinical Outcome in down Syndrome Children with Congenital Heart Disease
Aims: Down syndrome (DS) is the most common chromosome abnormality among live born infants. The aim of this study is to determine the Clinical outcome of patients with DS and congenital heart disease (CHD). Study Design:...
Application of Fractional Microneedling Radiofrequency and Autologous Platelet-Rich Plasma in Managing Facial Acne Scars
Background: Many treatment modalities were tried to treat acne scar & still big challenge for dermatologists. Radiofrequency is a non-ionizing electromagnetic radiation used in medicine for nearly 75 years and the applic...
Evaluate “Rifampicin Resistance” as Surrogate Marker for Rapid Detection of MDR-TB Using Real-Time PCR Directly on FNAC Samples of Tuberculous Lymphadenitis
Background: India has the dubious distinction of having second largest burden of MDR-TB cases in the world. According to WHO, MDR-TB is defined as resistance to isoniazid and rifampicin, the two most important drugs for...