Why the study?
How does the APACHE II score compare with the Mortality Prediction Model (MPM) for predicting hospital outcome in ICU patients?
Population
332 consecutive, unselected adults admitted to a nine-bed ICU in a 300-bed, nonteaching secondary hospital
Comparison
Acute Physiology and Chronic Health Evaluation… vs Mortality Prediction Model (MPM)
Design
Cohort
Follow-up
Until hospital discharge
Authors
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MPM timing affects ICU mortality prediction accuracy; leaves open whether reevaluation refines APACHE II comparisons in practice.
How does the APACHE II score compare with the Mortality Prediction Model (MPM) for predicting hospital outcome in ICU patients?
Both APACHE II and MPM are good predictors of hospital outcome in ICU patients, but the timing of evaluation relative to initial stabilization modifies predictive accuracy.
Castella et al. (1991) studied this question.
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