Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

This website belong to department of anaesthesia & ICU in Mosul city , Iraq


2 posters

    ApacheII Score

    yagocom
    yagocom
    المشرف العام


    عدد الرسائل : 193
    العمر : 54
    تاريخ التسجيل : 2008-07-26

    ApacheII Score Empty ApacheII Score

    Post by yagocom Mon Sep 26, 2011 10:59 pm

    APACHE II ("Acute Physiology and Chronic Health Evaluation II") is a severity-of-disease classification system (Knaus et al., 1985)[1], one of several ICU scoring systems. It is applied within 24 hours of admission of a patient to an intensive care unit (ICU): an integer score from 0 to 71 is computed based on several measurements; higher scores correspond to more severe disease and a higher risk of death
    APACHE II was designed to measure the severity of disease for adult patients admitted to Intensive care units. The lower age bound is not specified in the original article, but a good limit is to use Apache II only for patients aged 15 or older[citation needed].

    This scoring system is used in many ways:

    Some procedures and some medicine is only given to patients with a certain APACHE II score
    APACHE II score can be used to describe the morbidity of a patient when comparing the outcome with other patients.
    Predicted mortalities are averaged for groups of patients in order to specify the group's morbidity.
    Even though newer scoring systems, such as SAPS II, have replaced APACHE II in many places, APACHE II continues to be used extensively because so much documentation is based on it.

    [edit] CalculationThe point score is calculated from 12 routine physiological measurements, such as blood pressure, body temperature, heart rate, etc., during the first 24 hours after admission, information about previous health status, and some information obtained at admission (such as age). The calculation method is optimized for paper schemas, by using integer values and reducing the number of options so that data fit on a single-sheet paper form. The resulting point score should always be interpreted in relation to the illness of the patient.

    The score is not recalculated during the stay—it is by definition an admission score. If a patient is discharged from the ICU and readmitted, a new APACHE II score is calculated.

    The appendix of the document (see references) that originally described the APACHE II score, attempts to describe how to calculate a predicted death rate for a patient. In order to improve the accuracy of this calculation of predicted mortality, the principal diagnosis leading to ICU admission was added as a category weight: the predicted mortality is computed based on the patient's APACHE II score and their principal diagnosis at admission

    APACHE II Calculator

    Age:
    --------------------------------------------------------------------------------
    Hematocrit:
    WBC:
    Temp:
    MAP
    Heart Rate:
    Respiratory Rate:
    Serum Sodium(meq/L)
    Serum K+(meq/L)
    Aa Gradient / FiO2
    Arterial pH:
    SCR (mg/dl):
    --------------------------------------------------------------------------------
    GCS[/left]


    Units: US SI APACHE II Score for ICU Mortality
    Does the patient have a history of chronic organ insufficiency or immunocompromise? Yes, and is s/p emergency surgery.
    Yes, but is not s/p operation.
    Yes, and is s/p elective surgery.
    No.
    Does the patient have acute renal failure? Yes.
    Age years old
    Temperature (Rectal, Celsius) °C or °F (yes, either!)
    Mean Arterial Pressure (MAP)
    pH (Arterial)
    Heart Rate bpm
    Respiratory Rate (either ventilated or spontaneous) bpm
    Sodium (Serum) mg/dL
    Potassium (Serum) mg/dL
    Creatinine (Serum) mg/dL
    Hematocrit
    White Blood Cell Count x103 cells / mm3
    Glasgow Coma Score points
    A-a Gradient (if FiO2 ≥ 0.5) mm Hg
    PaO2 (if FiO2 < 0.5) mm Hg
    ApacheII Score points [/left]
    asmarandy
    asmarandy


    عدد الرسائل : 8
    العمر : 32
    العمل/الترفيه : طبيبة تخدير
    تاريخ التسجيل : 2011-09-27

    ApacheII Score Empty Re: ApacheII Score

    Post by asmarandy Wed Sep 28, 2011 12:22 am

    جزاك الله خيرا اخي المحترم
    yagocom
    yagocom
    المشرف العام


    عدد الرسائل : 193
    العمر : 54
    تاريخ التسجيل : 2008-07-26

    ApacheII Score Empty Re: ApacheII Score

    Post by yagocom Sat Nov 05, 2011 8:26 pm

    thank u dear

      Current date/time is Thu Mar 28, 2024 5:34 pm