Apache II General Collection Guidelines: Difference between revisions

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== When to collect, which value to use ==
== 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 which gives the [[APACHE 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 enhanced 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)
=== Discussion ===
*[[RR]] (Respiratory Rate)  
* where is this data taken from? [[User:Ttenbergen|Ttenbergen]] 22:34, 4 June 2008 (CDT)
*[[Arterial blood gas (APACHE)]]
 
*[[PH]]
'''The following refers to an ongoing discussion, not to a change in collection rules:'''
*[[Na]]
As discussed in the [[:Category:Critical Care Review Group|Critical Care Review Group]], the last 4 hours in the ER preceeding admission to the ICU may be admissible data for APACHE values if no data is available for the first 24 hours ''in'' ICU. Is this a rule we are using? [[User:Ttenbergen|Ttenbergen]] 13:12, 17 October 2008 (CDT)
*[[K]]
 
*[[Creatinine (APACHE)]]
== Missing Value Rule ==
*[[HCT]]
 
*[[WBC]]
 
*[[GCS]] Glasgow Coma Scale
=== For patients who '''"died" in ICU'''===
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.).
 
If these are NOT available then:
 
1. For vital signs ('''[[HR]], [[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: [[temperature]], [[Serum CO2]], [[Na]], [[K]], [[Creatinine]], [[HCT]] and [[WBC]].


== Elective Surgery see [[Admit Type for APACHE II]]==
== Elective Surgery see [[Admit Type for APACHE II]]==


== Chronic Health-see [[Chronic Health Diagnosis for APACHE II]]==
==[[Chronic Health APACHE]]==
 
== 12 Physiological Variable ==
#[[Temperature]]
#[[Mean BP]] mean blood pressure
#[[HR]]( Heart Rate)
#[[RR]] (Respiratory Rate)
#[[:Category: ABG | ABG]]    No ABG Available Rule? use [[serum CO2]]
#[[PH]]
#[[Na]]
#[[K]]
#[[CREAT]]
#[[HCT]]
#[[WBC]]
#[[GCS]] Glasgow Coma Scale


==Acute Renal Failure==
see [[ARF (APACHE)]]


== Related articles ==
{{Related Articles}}


[[Category:APACHE II]]
[[Category:APACHE II]]
[[Category:Critical Care Review Group]]

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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