APACHE II Background: Difference between revisions

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'''APACHE''' stands for '''A'''cute '''P'''hysiological and '''C'''hronic '''H'''ealth '''E'''valuation [http://en.wikipedia.org/wiki/APACHE_II APACHE II on the Wikipedia]

'''APACHE''' stands for '''A'''cute '''P'''hysiological and '''C'''hronic '''H'''ealth '''E'''valuation [http://en.wikipedia.org/wiki/APACHE_II APACHE II on the Wikipedia].

This page is part of [[:Category:APACHE II]], where you can find the links to many APACHE topics.

== Who was it developed by ==

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Max Total Apache Score = 71

see [[:Category:APACHE II Physiological Variables]]

=== Weighting of scores ===

*Each physiological variable selected has been weighted with a score ranging from 0-4 points to reflect severity.

*Physiological variables with the worst deviation from normal have been assigned the higher points.

*Note about renal scoring:

*Note about renal scoring (see also [[ARF_(APACHE)]]):

**The point scores for serum creatinine are doubled if [[ARF_(APACHE)]] is checked (which would be if [[Kidney, acute renal failure NOS]] is present). Note that even relatively small rises in serum creatinine are associated with higher rates of death for ICU patients, as indicated in [https://doi.org/10.1164/rccm.201311-2097OC Small Acute Increases in Serum Creatinine Are Associated with Decreased Long-Term Survival in the Critically Ill]

*See [[APACHE Scoring table]] for details.

==~~= Timing of collection~~ ===

~~Deviation in physiologic variables are selected during a patients' '''first 24 hours''' while "in the ICU".~~

== Collection Guidelines ==

~~The clock start at the actual~~ [[~~Arrive DtTm field | Arrive DtTm~~]]~~, (~~[[~~Admit date and time~~]]~~) into the ICU.~~

see [[Apache II General Collection Guidelines]]

see [[APACHE physiological variable collection]]

== How were these Variables Selected ==

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==References==

*[https://www.ncbi.nlm.nih.gov/pubmed/~~7261642~~ Knaus WA, ~~Zimmerman JE~~, Wagner DP, ~~Draper EA, Lawrence DE~~. APACHE ~~- Acute Physiology and Chronic Health Evaluation~~: A ~~physiologically based~~ classification system. '' Critical Care Medicine''~~, Vol 9: 591~~-~~597, 1981~~.]

*[https://www.ncbi.nlm.nih.gov/pubmed/?term=3928249 Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system. ''Critical Care Medicine'' 1985; 13818-29.]

*[https://www.ncbi.nlm.nih.gov/pubmed/?term=Evaluating+Outcome+from+Intensive+Care%3A+A+preliminary+multihospital+comparison Knaus WA, Draper EA, Wagner DP, Zimmerman JE, Birnbunm, ML, Cullen DJ, Kohles MK, Baedhyo S, Snyder JV: Evaluating Outcome from Intensive Care: A preliminary multihospital comparison. ''Critical Care Medicine'', Vol 10: 491-496, 1982. ]

*[https://www.ncbi.nlm.nih.gov/pubmed/~~?term=3928249~~ Knaus WA, ~~Draper EA~~, Wagner DP, ~~Zimmerman JE~~. APACHE II: A ~~severity of disease~~ classification system. ''Critical Care Medicine'' ~~1985; 13818~~-29.]

*[https://annals.org/aim/article-abstract/700316/evaluation-outcome-from-intensive-care-major-medical-centers Knaus WA, Draper EA, Wagner DP, Zimmerman JE. An Evaluation of Outcome from the Intensive Care in Major Medical Centers. Annuals of Internal Medicine, Vol 104: No 3: 410-418, 1986.]

*Original APACHE, not the one we use: [https://www.ncbi.nlm.nih.gov/pubmed/7261642 Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE - Acute Physiology and Chronic Health Evaluation: A physiologically based classification system. '' Critical Care Medicine'', Vol 9: 591-597, 1981.]

== Related articles ==

*[https://annals.org/aim/article-abstract/700316/evaluation-outcome-from-intensive-care-major-medical-centers Knaus WA, Draper EA, Wagner DP, Zimmerman JE. An Evaluation of Outcome from the Intensive Care in Major Medical Centers. Annuals of Internal Medicine, Vol 104: No 3: 410-418, 1986.]

[[Category:APACHE II]]

@@ Line 1: / Line 1: @@
-'''APACHE''' stands for '''A'''cute '''P'''hysiological and '''C'''hronic '''H'''ealth '''E'''valuation [http://en.wikipedia.org/wiki/APACHE_II  APACHE II on the Wikipedia]
+'''APACHE''' stands for '''A'''cute '''P'''hysiological and '''C'''hronic '''H'''ealth '''E'''valuation [http://en.wikipedia.org/wiki/APACHE_II  APACHE II on the Wikipedia].
+This page is part of [[:Category:APACHE II]], where you can find the links to many APACHE topics.
 == Who was it developed by ==
@@ Line 22: / Line 24: @@
 Max Total Apache Score = 71
+see [[:Category:APACHE II Physiological Variables]]
 === Weighting of scores ===
 *Each physiological variable selected has been weighted with a score ranging from 0-4 points to reflect severity.
 *Physiological variables with the worst deviation from normal have been assigned the higher points.
-*Note about renal scoring:
+*Note about renal scoring (see also [[ARF_(APACHE)]]):
 **The point scores for serum creatinine are doubled if [[ARF_(APACHE)]] is checked (which would be if [[Kidney, acute renal failure NOS]] is present).  Note that even relatively small rises in serum creatinine are associated with higher rates of death for ICU patients, as indicated in [https://doi.org/10.1164/rccm.201311-2097OC Small Acute Increases in Serum Creatinine Are Associated with Decreased Long-Term Survival in the Critically Ill]
+*See [[APACHE Scoring table]] for details.
-=== Timing of collection ===
-Deviation in physiologic variables are selected during a patients' '''first 24 hours'''  while "in the ICU".
+== Collection Guidelines ==
-The clock start at the actual [[Arrive DtTm field | Arrive DtTm]], ([[Admit date and time]]) into the ICU.
+see [[Apache II General Collection Guidelines]]
+see [[APACHE physiological variable collection]]
 == How were these Variables Selected ==
@@ Line 39: / Line 45: @@
 ==References==
-*[https://www.ncbi.nlm.nih.gov/pubmed/7261642 Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE - Acute Physiology and Chronic Health Evaluation: A physiologically based classification system. '' Critical Care Medicine'', Vol 9: 591-597, 1981.]
+*[https://www.ncbi.nlm.nih.gov/pubmed/?term=3928249 Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system.  ''Critical Care Medicine'' 1985; 13818-29.]
 *[https://www.ncbi.nlm.nih.gov/pubmed/?term=Evaluating+Outcome+from+Intensive+Care%3A+A+preliminary+multihospital+comparison Knaus WA, Draper EA, Wagner DP, Zimmerman JE, Birnbunm, ML, Cullen DJ, Kohles MK, Baedhyo S, Snyder JV: Evaluating Outcome from Intensive Care: A preliminary multihospital comparison. ''Critical Care Medicine'', Vol 10: 491-496, 1982. ]
-*[https://www.ncbi.nlm.nih.gov/pubmed/?term=3928249 Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system.  ''Critical Care Medicine'' 1985; 13818-29.]
+*[https://annals.org/aim/article-abstract/700316/evaluation-outcome-from-intensive-care-major-medical-centers Knaus WA, Draper EA,  Wagner DP, Zimmerman JE. An Evaluation of Outcome from the Intensive Care in Major Medical Centers. Annuals of Internal Medicine, Vol 104: No 3: 410-418, 1986.]
+*Original APACHE, not the one we use: [https://www.ncbi.nlm.nih.gov/pubmed/7261642 Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE - Acute Physiology and Chronic Health Evaluation: A physiologically based classification system. '' Critical Care Medicine'', Vol 9: 591-597, 1981.]
+== Related articles ==
+{{Related Articles}}
-*[https://annals.org/aim/article-abstract/700316/evaluation-outcome-from-intensive-care-major-medical-centers Knaus WA, Draper EA,  Wagner DP, Zimmerman JE. An Evaluation of Outcome from the Intensive Care in Major Medical Centers. Annuals of Internal Medicine, Vol 104: No 3: 410-418, 1986.]
 [[Category:APACHE II]]