APACHE II: prediction of outcome of 451 ICU oncology admissions in a community hospital.
The APACHE II system has been shown to be a reliable and useful means of evaluating patient outcome from the intensive care unit when applied to a broad spectrum of diagnoses. The major purpose of this study was to determine the use of APACHE II as a means of predicting outcome of ICU oncology patients. Data were retrospectively collected for 451 ICU oncology admissions. A direct relationship between severity of physiologic derangement and patient risk of death was demonstrated. Patients with scores of 30 or greater had hospital mortality rates of 100% for postoperative and 92.6% for nonoperative patients. The APACHE II was a useful means of predicting the outcome of ICU oncology patients. This potentially provides the patient, family, and physician an objective dimension in making decisions whether to transfer the oncology patient.
Abbott
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Comprehensive Cancer Program, Hurley Medical Center, Flint, Michigan.
Setter
M
M
Chan
S
S
Choi
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D044383:Black People; D003627:Data Interpretation, Statistical; D003657:Decision Making; D006764:Hospitals, Community / Q000191:economics; D006801:Humans; D007362:Intensive Care Units / Q000191:economics; D008875:Middle Aged; D010343:Patient Admission; D010347:Patient Care Planning; D011379:Prognosis; D012189:Retrospective Studies; D012737:Sex Factors; D044465:White People