Temperature: Difference between revisions

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*A physiologically element collected for APACHE II
See also [[Targeted Temperature Management (TTM)]], [[Hypothermia, due to exposure/low environmental temperature]] or [[Hypothermia, not due to low environmental temperature/exposure]]
*See [[General Collection Guidelines for Apache II#When to collect, which value to use]].


{{Data_element
| field_name = Ap_Temp
| CCMDB_label = Temperature
| CCMDB_tab = Apache
| element_description = The patient's {{#show: Temperature | ?AP phys name}} level in {{#show: Temperature | ?AP phys unit}}.
| in_table = L_Log table
| data_type = number
| datafield_length = single
| program_collecting = CC
| created_raw = Raw
| data_element_sort_index = 57
}}


== Therapeutic Cooling ==
<!-- Discussed in Nov 21.08_ ICU team meeting -->
Cardiac arrests may having the cooling protocol applied. See [[Cardiac Arrest Cooling Protocol]] for more information. If a patient is '''actively cooled for therapeutic reasons''', use the most recent temp just '''prior  to''' start of cooling.
* If no temp is available before cooling initiated, then use a temp at '''4 hours after''' cooling stopped.


== Data Integrity Rules ==
=== Arrived from OR cold ===
* (>=20 And <=43.5)
If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time.


{{APACHE physiological variable
|AP phys name=Temperature
|AP phys unit=°C
|AP phys absMax=42.7
|AP phys warnMax=42.7
|AP H4= >=41
|AP H3= >=39 and <41
|AP H1= >=38.5 and <39
|AP 0= >=36 and <38.5
|AP L1= >=34 and <36
|AP L2= >=32 and <34
|AP L3= >=30 and <32
|AP L4= <30
|AP phys warnMin=1
|AP phys absMin=1
}}


==Artificial Cooling==
== Data Integrity Checks ==
Discussed in Nov 21.08_ ICU team meeting:
{{Data Integrity Check List}}


If a patient is '''actively cooled for therapeutic reasons''', use the most recent temp just '''prior to'''start of cooling.
== Related articles ==
* If no temp is available before cooling initiated, then use temp at 4 hours after cooling stopped.
{{Related Articles}}
 
*cardiac arrests may having the cooling protocol applied. See [[BRR]] for more information.
 
If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time.
 
**the key to APACHE is not to record iatrogenically induce problem.[[User:TOstryzniuk|TOstryzniuk]] 23:26, 4 December 2008 (CST)
 
 
 
[[Category: APACHE II]]
[[Category: Data Integrity Rules]]

Latest revision as of 01:36, 3 January 2019

See also Targeted Temperature Management (TTM), Hypothermia, due to exposure/low environmental temperature or Hypothermia, not due to low environmental temperature/exposure


Data Element (edit)
Field Name: Ap_Temp
CCMDB Label: Temperature
CCMDB tab: Apache
Table: L_Log table
Data type: number
Length: single
Program: CC
Created/Raw: Raw
Start Date: 1988-07-11
End Date: 2300-01-01
Sort Index: 57
Data Dependencies(Reports/Indicators/Data Elements):

The patient's Temperature level in °C.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Therapeutic Cooling

Cardiac arrests may having the cooling protocol applied. See Cardiac Arrest Cooling Protocol for more information. If a patient is actively cooled for therapeutic reasons, use the most recent temp just prior to start of cooling.

  • If no temp is available before cooling initiated, then use a temp at 4 hours after cooling stopped.

Arrived from OR cold

If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time.


Apache Physiological Variable
variable name Temperature
unit °C
absolute max allowed 42.7
warning max 42.7
high score 4 >=41
high score 3 >=39 and <41
high score 2
high score 1 >=38.5 and <39
score 0 >=36 and <38.5
low score 1 >=34 and <36
low score 2 >=32 and <34
low score 3 >=30 and <32
low score 4 <30
AP phys warnMin 1
AP phys absMin 1

APACHE Score

This value is used to generate the APACHE Score.

Collecting Apache physiological variables

There are some specific rules to follow in choosing which one of several lab results to collect.

See APACHE physiological variable collection for details.

Cross Chcks

Rules described in APACHE_physiological_variable_collection#Exceptionally_high_or_low_values are implemented by Check APACHE physiological variable high low.

Data Integrity Checks

Data Integrity Checks (automatic list)

 AppStatus
Check APACHE physiological variable high lowCCMDB.accdbimplemented

Related articles

Related articles: