A critical study of the APACHE II scoring system using earlier data collection.
The APACHE II severity of illness scoring system was prospectively studied on 756 patients admitted to a general intensive care unit (ICU) from January 1986 to June 1988. Admission data were used. Individual and group risk of death were calculated for 3 diagnostic categories commonly seen in the A&E department and requiring admission to an ICU. The APACHE II score on admission tended to underestimate the risk of death following operative and non-operative trauma, and self-poisoning. This may have been related to the use of an analysis not yet validated against values obtained on admission to ICU. Such validation is urgently needed on a UK population if APACHE II scoring is to be of value in the A&E department.
Waters
M
M
Department of Accident and Emergency Medicine, University Hospital of South Manchester, England.
Nightingale
P
P
Edwards
J D
JD
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016638:Critical Illness / Q000145:classification*; D062787:Drug Overdose / Q000145:classification; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009026:Mortality; D011446:Prospective Studies; D012720:Severity of Illness Index; D014947:Wounds and Injuries / Q000145:classification