[Analysis of acute physiology and chronic health evaluation III in the 54 patients with severe acute respiratory syndrome].
OBJECTIVE
To evaluate the acute physiology and chronic health evaluation III (APACHE III) in the severe acute respiratory syndrome (SARS) patients and its significance in prognosis.


METHODS
The clinical data of 54 SARS patients, including survivors (43 cases) and nonsurvivors (11 cases) were collected and evaluated with APACHE III scoring system. The correlation of scores and prognosis was evaluated.


RESULTS
The scores of the nonsurvivors were higher remarkably than those of the surviving group(P<00.01). The scores of the acute physiology score (APS) and year score (YS) in the death group were higher obviously than those of the surviving group(both P<0.01). Elderly patients with severe disease had a high mortality. The scores of APACHE III had positive correlation with the over all fatality rate. When the scores of APACHE III was higher than 60, the fatality rate increased obviously.


CONCLUSIONS
The scores of APACHE III in the SARS are correlated with the patient's condition and prognosis.
Shi
Hai-yan
HY
The Eighth People's Hospital of Guangzhou, Guangzhou 510060, Guangdong, China.
Zhang
Fu-chun
FC
Yin
Chi-biao
CB
Deng
Xi-long
XL
D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D045169:Severe Acute Respiratory Syndrome / Q000175:diagnosis* / Q000401:mortality; D055815:Young Adult