title: [Apache II score and prognosis of intensive care patients after trauma--results of a quality assurance study of 939 patients].
abstract: The APACHE II score is a well-known measure of illness severity and widely used for prognosis in the ICU. A total of 91 trauma patients were identified among 939 ICU admissions (18 months), and their actual mortality (11/91; 12.1%) clearly exceeds the prognosis due to APACHE II (7.1%). Trauma-specific scores (TRISS, ISS, and RTS) revealed much higher estimates: 13%-22% which confirms a systematic underestimation of risk of death score in trauma patients in the APACHE system.
authors.affiliation: Biochemische und Experimentelle Abteilung, II. Lehrstuhl für Chirurgie, Universität Köln.
authors.forename: R
authors.initials: R
authors.lastname: Lefering
authors.forename: S
authors.initials: S
authors.lastname: Dicke
authors.forename: B
authors.initials: B
authors.lastname: Böttcher
authors.forename: E
authors.initials: E
authors.lastname: Neugebauer
mesh_terms: D018806:APACHE; D000328:Adult; D000368:Aged; D000818:Animals; D003422:Critical Care; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality*; D011379:Prognosis; D011785:Quality Assurance, Health Care; D012306:Risk; D012680:Sensitivity and Specificity
vernacular_title: APACHE II Score und Prognose von Intensivpatienten nach Trauma--Ergebnisse einer Qualitätssicherungsstudie an 939 Patienten.