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July 1, 1995Critical Care Medicine

Evaluation of predictive ability of APACHE II system and hospital outcome in Canadian intensive care unit patients

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Population

1,724 consecutive patients admitted to adult medical/surgical ICUs in two Canadian university teaching…

Design

Cohort

Follow-up

hospital stay

Authors

DWDavid T. WongSt. Michael's HospitalSCS. CroftsSt. Michael's HospitalMGManuel GómezUniversidad Tecnológica Privada de Santa Cruz

Discussion

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Overview

Supports APACHE II for risk-adjusted ICU benchmarking in Canada; extends validation to this population while leaving broader outcome impact open.

Structured PICO

P
Population
1,724 consecutive patients admitted to adult medical/surgical ICUs in two Canadian university teaching hospitals, and 4,087 retrospective patients from 13 US ICUs. Coronary care unit, neurosurgical and cardiac surgery patients were excluded.
O
Outcome
Hospital survival/mortality and accuracy of APACHE II outcome predictionhard clinical

The APACHE II scoring system accurately predicts hospital mortality in Canadian ICU patients, and differences in crude mortality between Canadian and US ICUs are explained by differences in baseline severity of illness.

Cite This Study

Wong et al. (1995) studied this question.

synapsesocial.com/papers/6a85b61e35bc0eada8d5ad70https://doi.org/10.1097/00003246-199507000-00005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Verification of the Acute Physiology and Chronic Health Evaluation scoring system in a Hong Kong intensive care unit1993 · 117 citations
  2. 2Patient selection for intensive care1988 · 133 citations
  3. 3The meaning and use of the area under a receiver operating characteristic (ROC) curve.1982 · 22,195 citations
  4. 4APACHE II1985 · 13,870 citations
  5. 5APACHE II-A Severity of Disease Classification System1986 · 13,414 citations