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Design
Editorial
The author argues for the continued use of APACHE II scores to ensure consistency in intensive care audits, despite criticisms of it being outdated.
EDITOR—Shann criticises the use of the APACHE II scoring system as an audit tool for intensive care performance.1 He has two main arguments. Firstly, he says that the system is outdated in that it reflects North American standards in the early 1980s. Secondly, he says that it can mask substandard intensive care performance by magnifying the risk of death in the poorer intensive care …
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W H Konarzewski (2000) studied this question.
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