Apache II General Collection Guidelines: Difference between revisions

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m New page: == Select the worst value == Select the physiological values that reflect the '''worst''' deviation from normal in the '''first 24 hours''' in ICU. WORST value could be HIGH or LOW, dep...
 
m →Physiological variables: more appropriate link than the whole category was
 
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== Select the worst value ==
== Physiological variables ==
Select the physiological values that reflect the '''worst''' deviation from normal in the '''first 24 hours''' in ICU.
See [[APACHE physiological variable collection]] for collection instructions.


WORST value could be HIGH or LOW, depending on the one that gives you the [[Scoring_table#Chemistry_values|most points]].
See [[APACHE Scoring table]] for a list of variables.
Keep in mind the diagnosis and try not to include iatrogenically
enhance symptoms, e.g. BP severely high due to inotropes or
decreased LOC due to sedation.


If the length of stay in ICU is less than 24, use those values only.
*[[Temperature]]
NOTE: The Higher the APACHE score, the sicker the patient.
*[[Mean BP]] mean blood pressure
*[[HR]]( Heart Rate)
*[[RR]] (Respiratory Rate)
*[[Arterial blood gas (APACHE)]]
*[[PH]]
*[[Na]]
*[[K]]
*[[Creatinine (APACHE)]]
*[[HCT]]
*[[WBC]]
*[[GCS]] Glasgow Coma Scale


== Missing Values ==
== Elective Surgery see [[Admit Type for APACHE II]]==
'''Do not record the value zero and do not leave any blanks.'''


If a specific value for any APACHE field is not available in the first 24 hours in ICU then:
==[[Chronic Health APACHE]]==
A)  Select a value closest to the time '''prior to''' admission into ICU.
Make a note on your collection sheet where the information was obtained from (ER or Ward etc) and from which date and time period it was obtained from.
B)  If no information is available, then assume it was not tested because it was normal, and record normal values for all APACHE data.  Also note this on your collection in your collection notes.


=== For patients who '''"died" in ICU'''===
==Acute Renal Failure==
For patients who '''"died" in ICU''' and have '''no''' data available in ICU to record for an APACHE select the APACHE data that is closest to the time 'prior to' ICU admission ( values from ER, ward, etc.).
see [[ARF (APACHE)]]


If these are NOT available then:
== Related articles ==
{{Related Articles}}


1. For vital signs ('''Pulse, BP mean, RR only'''), select the lowest limit value on the APACHE table that will give you the highest score.
2. Record '''normal''' values for: TEMP, CO2, NA, K, Creat, HCT and WBC.
=== To do before de-stubbing ===
* there is reference to "the collection sheet" - does that mean we need to track this electronically? If not, why do we need to take this down? Or do we, still?
== To do before de-stubbing ==
* address other de-stubs above
* finish moving from paper
{{stub}}
[[Category:APACHE II]]
[[Category:APACHE II]]

Latest revision as of 15:22, 23 December 2020

Physiological variables

See APACHE physiological variable collection for collection instructions.

See APACHE Scoring table for a list of variables.

Elective Surgery see Admit Type for APACHE II

Chronic Health APACHE

Acute Renal Failure

see ARF (APACHE)

Related articles

Related articles:
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