title: APACHE II scoring in the injured patient.
abstract: The purpose of this study was to measure the predictive power of Acute Physiology and Chronic Health Evaluation (APACHE II) with respect to mortality in a group of seriously injured patients and to compare this predictive power with that of the Trauma Score (TS) and the Injury Severity Score (ISS). Six hundred ninety-one helicopter-transported patients were studied. Individual logistic regressions demonstrated that all three scores had significant predictive power when considered individually (TS chi 2 = 136, p less than .0001; APACHE II chi 2 = 171, p less than .0001; ISS chi 2 = 109, p less than .0001). In addition, each severity score added significantly to the predictive power in a stepwise logistic regression (TS chi 2 = 15, p less than .0001; APACHE II chi 2 = 45, p less than .0001; ISS chi 2 = 15, p less than .0001). Areas under the receiver operating curves for the three scores were not significantly different (TS 0.8116, SD 0.0245; APACHE II 0.8515, SD 0.0204; ISS 0.7967; SD 0.0223). APACHE II is a good predictor of mortality, and its predictive power is complemented by TS and ISS.
authors.affiliation: Division of Emergency Medicine, University of California Davis Medical Center, Sacramento 95817.
authors.forename: K J
authors.initials: KJ
authors.lastname: Rhee
authors.forename: W G
authors.initials: WG
authors.lastname: Baxt
authors.forename: J R
authors.initials: JR
authors.lastname: Mackenzie
authors.forename: N H
authors.initials: NH
authors.lastname: Willits
authors.forename: R E
authors.initials: RE
authors.lastname: Burney
authors.forename: R J
authors.initials: RJ
authors.lastname: O'Malley
authors.forename: N
authors.initials: N
authors.lastname: Reid
authors.forename: D
authors.initials: D
authors.lastname: Schwabe
authors.forename: D L
authors.initials: DL
authors.lastname: Storer
authors.forename: R
authors.initials: R
authors.lastname: Weber
mesh_terms: D000293:Adolescent; D000328:Adult; D000401:Aircraft; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012720:Severity of Illness Index; D014187:Transportation of Patients; D015599:Trauma Severity Indices; D014947:Wounds and Injuries / Q000145:classification* / Q000401:mortality