title: [Illness severity and prognosis assessment with acute physiology and chronic health evaluation II for patients after cardiovascular surgery].
abstract: OBJECTIVE
  To evaluate illness severity and to assess the prognosis with acute physiology and chronic health evaluation II (APACHE II) for patients after cardiovascular surgery.
  
  
  METHODS
  APACHE II scores of 234 patients in the cardiac surgical intensive care unit (CSICU) were calculated, and the actual mortality and the predicted mortality were obtained based on the score.
  
  
  RESULTS
  The APACHE II score of the 234 patients was 14.22±6.77. The difference in the APACHE II score between the survivors, the patients with complications and the death group was significant; the difference in the APACHE II score between patients with different preoperative cardiac functions was significant; the detention time in the CSICU was positively related to APACHE II scores; and the ROC area under the curve of APACHE II was 0.991±0.006. With the predicted rate >30% as the standard for death, sensitivity of APACHE II score for mortality risk prediction was 80.00%, specificity was 99.12%, and the accuracy was 98.72%. According to the score, we divided the patients into 3 groups (<10 points, 10-20 points, >20 points), forecast mortality in the >20 point group was in the 95% confidence interval of actual mortality.
  
  
  CONCLUSIONS
  APACHE II is a good index for illness severity and prognosis assessment for patients after cardiovascular surgery.
authors: School of Nursing, Central South University, Changsha, China.
authors: Shuhong
authors: S
authors: Wang
authors: Guoping
authors: G
authors: He
authors: Cui
authors: C
authors: Zeng
authors: Jianhui
authors: J
authors: Zhou
authors: Xiaochen
authors: X
authors: Xia
mesh_terms: D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures; D005260:Female; D005544:Forecasting; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009026:Mortality; D011379:Prognosis; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D055815:Young Adult