September 1, 1994Critical Care Medicine

Use of daily Acute Physiology and Chronic Health Evaluation (APACHE) II scores to predict individual patient survival rate

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Why the study?

Does daily APACHE II scoring accurately predict individual mortality in ICU patients?

Population

3,350 consecutive ICU admissions to medical-surgical ICUs of four tertiary care academic hospitals

Design

Cohort

Follow-up

Until hospital discharge

Authors

JRJames L. RogersVanderbilt University HFHugh D. FullerWestern University

Discussion

Member takes

Implication

APACHE II thresholds do not predict 100% mortality; challenges earlier reports and leaves open the accuracy of daily scoring for individual ICU prognostication.

Structured PICO

Does daily APACHE II scoring accurately predict individual mortality in ICU patients?

Population

3,350 consecutive ICU admissions (excluding postoperative cardiac patients) to medical-surgical ICUs of four tertiary care academic hospitals

Intervention

Daily Acute Physiology and Chronic Health Evaluation (APACHE) II scoring and predetermined algorithms

Outcome

Prediction of individual ICU and hospital mortalityhard clinical

Admission or daily APACHE II scores do not accurately predict individual patient mortality and should not be used alone to limit therapy.

Cite This Study

Rogers et al. (1994) studied this question.

synapsesocial.com/papers/6a749fc5f2cd31a1fadbdd37 https://doi.org/10.1097/00003246-199409000-00008

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Implication

APACHE II thresholds do not predict 100% mortality; challenges earlier reports and leaves open the accuracy of daily scoring for individual ICU prognostication.