title: Various scoring systems for predicting mortality in Intensive Care Unit.
abstract: BACKGROUND
  Various scoring systems have been developed to predict mortality and morbidity in Intensive Care Unit (ICU), but different data has been reported so far.
  
  
  OBJECTIVE
  This retrospective clinical study aims to evaluate predictability of Acute Physiology and Chronic Health Evaluation II (APACHE II), APACHE IV, Simplified Acute Physiology Score III (SAPS III) scoring systems regarding with mortality.
  
  
  METHODS
  Sixteen bed surgical-medical ICU in university hospital.
  
  
  METHODS
  The study comprised 487 patients older than 18 years treated in ICU for at least 24 h. Age, gender, body weight, initial diagnosis, clinic of referral, intubation, comorbidities, APACHE II, APACHE IV, Glasgow coma scale, SAPS III scores, length of hospitalization before referral to ICU, length of stay in ICU, mechanical ventilation were recorded.
  
  
  RESULTS
  Most of the patients (54.6%) were consulted from operating room. The most frequent diagnosis was acute respiratory failure. Total mortality rate was 26%. Mortality rate was higher in patients admitted from wards other than surgery (48%) (P < 0.005). In the presence of comorbidities, mortality rate was higher with comorbidities than without (P < 0.05). Regression analysis indicated a significant positive relationship between length of stay in ICU, length of mechanical ventilation and high mortality risk in patients referred from emergency service (P < 0.05). Accuracy rates of predicting mortality were 81%, 79%, and 81% for APACHE II, APACHE IV, and SAPS III, respectively.
  
  
  CONCLUSIONS
  The investigated scoring systems are similar in sensitivity and specificity mortality prediction whereas the accuracy was higher for SAPS III and APACHE II than APACHE III in our patient population.
authors.affiliation: Department of Anesthesiology, School of Medicine, Pamukkale University, Denizli, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Evran
authors.affiliation: Department of Anesthesiology, School of Medicine, Pamukkale University, Denizli, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Serin
authors.affiliation: Department of Anesthesiology, School of Medicine, Pamukkale University, Denizli, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Gürses
authors.affiliation: Department of Anesthesiology, School of Medicine, Pamukkale University, Denizli, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Sungurtekin
mesh_terms: D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D015600:Glasgow Coma Scale; D017052:Hospital Mortality; D006785:Hospitals, University; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult