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APACHE Scoring table: Difference between revisions

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== Physiological Variables ==
== Physiological Variables ==
MAX score = 48
{{#ask: [[Category:APACHE II Physiological Variables]]
| ?AP phys name
| ?AP phys unit
| ?AP phys absMax
| ?AP phys warnMax
| ?AP H4
| ?AP H3
| ?AP H2
| ?AP H1
| ?AP 0
| ?AP L1
| ?AP L2
| ?AP L3
| ?AP L4
| ?AP phys warnMin
| ?AP phys absMin
|sort=AP phys name
|order=ascending
|format=broadtable
|default=Problem with SMW ask call
|headers=show
|class=sortable wikitable smwtable
}}


''see [[Field Ranges and Decimal Settings]] for maximum and extreme ranges''
== definitions ==
A lot of these values follow very specific definitions and collection instructions. See individual linked articles for details. Especially, see  
* [[Mean BP]]
* [[Arterial blood gas (APACHE)]]
* [[Glasgow Coma Scale]]


{| border="1" class="wikitable"
=== number of decimal points in definitions ===
|- align="center" style="background-color:#CCCCE6;font-weight:bold"
| variable
| Abs Min
| Warn Min
| 4
| 3
| 2
| 1
| 0
| 1
| 2
| 3
| 4
| Warn Max
| Abs Max
|- align="center"
 
| style="background-color:#CCCCE6" | [[Temperature]] (C)
| 24
| 25.8
| >=41
| >=39 and <41
| &nbsp;
| >=38.5 and <39
| style="background-color:#CCCCE6" | >=36 and <38.5
| >=34 and <36
| >=32 and <34
| >=30 and <32
| <30
| 42.7
| 42.7
|- align="center"
 
 
| style="background-color:#CCCCE6" | [[Mean BP]] (mm Hg)
| SBP 19,
 
DBP 5
| SBP 25,
 
DBP 5
| ≥160
| 130-159
| 110-129
|
| height="16" style="background-color:#CCCCE6" | 70-109
| &nbsp;
| 50-69
| &nbsp;
| ≤49
| SBP 308,
 
DBP 188
| SBP 344,
 
DBP 200
|- align="center"
 
 
| height="16" style="background-color:#CCCCE6" | [[HR]] (beats per minute)
| 5
| 10
| >=180
| >=140 and <180
| >=110 and <140
| &nbsp;
| style="background-color:#CCCCE6" | >=70 and <110
| &nbsp;
| >=55 and <70
| >=40 and <55
| <40
| 250
| 250
|- align="center" valign="top"
 
| style="background-color:#CCCCE6" | [[RR]] (breaths per minute)
| 2
| 2
 
| ≥50
| >=35 and <50
| &nbsp;
| >=25 and <35
| style="background-color:#CCCCE6" | >=12 and <25
| >=10 and <12
| >=6 and <10
| &nbsp;
| <6
| 79
| 95
|- align="center" valign="top"
 
| height="16" style="background-color:#CCCCE6" |  [[AaDO2]] (if [[FiO2|FiO<sub>2</sub>]] &gt;= 50% - [[#*2 - Arterial Blood Gas (ABG) scoring|*2]])
| [[#*1 AaDO2 component max/min values |*1 ]]
| [[#*1 AaDO2 component max/min values |*1 ]]
| ≥500
| 350-499
| 200-349
| &nbsp;
| style="background-color:#CCCCE6" | &lt;200
| &nbsp;
| &nbsp;
| &nbsp;
| &nbsp;
| [[#*1 AaDO2 component max/min values |*1 ]]
| [[#*1 AaDO2 component max/min values |*1 ]]
|- align="center" valign="top"
 
 
| height="16" style="background-color:#CCCCE6" |  [[PO2]] (mm Hg) (if [[FiO2|FiO<sub>2</sub>]] &lt; 50% - [[#*2 - Arterial Blood Gas (ABG) scoring|*2]])
| 7
| 7
 
| &nbsp;
| &nbsp;
| &nbsp;
| &nbsp;
| style="background-color:#CCCCE6" | &gt;70
| 61-70
| &nbsp;
| 55-60
| ≤54
| 600
| 600
|- align="center" valign="top"
 
 
| height="16" style="background-color:#CCCCE6" | [[Serum CO2]] (If no ABG)  - [[#*2 - Arterial Blood Gas (ABG) scoring|*2]]
| 2
| 2
| ≥52
| >=41 and <52
| &nbsp;
| >=32 and <41
| style="background-color:#CCCCE6" | >= 22 and <32
| &nbsp;
| >=18 and <22
| >=15 and <18
| <15
| 59
| 59
|- align="center" valign="top"
 
| height="16" style="background-color:#CCCCE6" | [[PH|Arterial pH]]  - [[#*2 - Arterial Blood Gas (ABG) scoring|*2]]
| 6
| 6
| >=7.7
| >=7.6 and <7.7
| &nbsp;
| >=7.5 and <7.6
| style="background-color:#CCCCE6" | >=7.33 and <7.5
| &nbsp;
| >=7.25 and <7.33
| >=7.15 and <7.25
| < 7.15
| 7.97
| 7.99
|- align="center" valign="top"
 
| height="16" style="background-color:#CCCCE6" | [[Na]] (mmol/L)
| 70
| 100
| >=180
| >=160 and <180
| >=155 and <160
| >=150 and <155
| style="background-color:#CCCCE6" | >=130 and <150
| &nbsp;
| >=120 and <130
| >=111 and <120
| ≤111
| 190
| 200
 
|- align="center" valign="top"
| height="16" style="background-color:#CCCCE6" | [[K]] (mmol/L)
| 1
| 1
| >=7
| >=6 and <7
| &nbsp;
| >=5.5 and <6
| style="background-color:#CCCCE6" | >=3.5 and <5.5
| >=3 and <3.5
| >=2.5 and <3
| &nbsp;
| <2.5
| 9.9
| 12
 
|- align="center" valign="top"
| height="26" style="background-color:#CCCCE6" | [[Creatinine]] (mmol/L)
(Double point if yes for [[ARF (APACHE)|ARF]];
 
see [[ARF (APACHE)|ARF]] for APACHE II)
| 2
| 5
| >=309
| >=178 and <309
| >=133 and <178
| &nbsp;
| style="background-color:#CCCCE6" | >=53 and <133
| &nbsp;
| ≤52
| &nbsp;
| &nbsp;
| 2288
| 2785
 
|- align="center" valign="top"
| height="16" style="background-color:#CCCCE6" | [[HCT]] (%)
| 3
| 3
| >=60
| &nbsp;
| >=50 and <60
| >=46 and <50
| style="background-color:#CCCCE6" | >=30 and <46
| &nbsp;
| >=20 and <30
| &nbsp;
| <20
| 68
| 78
 
|- align="center" valign="top"
| height="16" style="background-color:#CCCCE6" | [[WBC]](x10 9/L)([[#*3 number of decimal points in definitions|*3]])
| 0.01
| 0.02
| >=40
| &nbsp;
| >=20 and <40
| >=15 and <20
| style="background-color:#CCCCE6" | >=3 and <15
| &nbsp;
| >=1 and <3
| &nbsp;
| <1
| 301
| 517
|}
 
=== *1 AaDO2 component max/min values ===
* FIO2 ranges acceptable from 21-100
* CO2 warning range 2-285, absolute range 2-440
 
=== *2 - Arterial Blood Gas (ABG) scoring ===
* If '''no''' ABG
** apply score only for the SerCO2
** '''ignore pH component'''
* else (ie. ABG present)
** apply pH score
** if FIO2 >= 50
*** apply AaDO2 score
** else (ie FIO2 < 50)
*** apply PO2 score
 
=== *3 number of decimal points in definitions ===
Some values arrive with a higher decimal precision than the definitions. Since the definitions have holes, that would lead to values in the holes being undefined for points.  
Some values arrive with a higher decimal precision than the definitions. Since the definitions have holes, that would lead to values in the holes being undefined for points.  
This is solved by rounding the value to one decimal point and applying the score to that.
This is solved by rounding the value to one decimal point and applying the score to that.


== [[Glasgow Coma Scale]] (GCS) ==
=== [[Glasgow Coma Scale]] (GCS) ===
For information on collecting and coding the values, see the [[Glasgow Coma Scale]] article.
For information on collecting and coding the values, see the [[Glasgow Coma Scale]] article.
*GCS = EYE point + MOTOR point + VERBAL point
*GCS = EYE point + MOTOR point + VERBAL point
*Neurological Points = 15 - GCS
*Neurological Points = 15 - GCS
=== Acute Physiologic Score (APS) ===
APS = [[#Physiological_Variables]] points + Neurological points from GCS
==== Inclusion of pH in absence of other ABG components ====
include it


== [[Age]] Points ==
== [[Age]] Points ==
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== Chronic Health Score ==
== Chronic Health Score ==
'''Apparently this is defined here and implemented incorrectly as compared with actual APACHE; see [[Chronic_Health_APACHE#Potential change]].''' Ttenbergen
The chronic health score is calculated from [[Chronic Health APACHE]] and [[Admit Type for APACHE II]] as follows:
The chronic health score is calculated from [[Chronic Health APACHE]] and [[Admit Type for APACHE II]] as follows:


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:: Score = 0
:: Score = 0


===APSpts - Acute Physiological Points===
==Total Apache Score==
APS = scores as per [[#Physiological_Variables]]
TotApache = APS + Chronic Health points+ agepts
 
TotApache MAX =74


APSpts MAX score = 48
== Related articles ==
{{Related Articles}}


==Total Apache Score==
TotApache = APS [[#Physiological_Variables]] points + Neurological points from GCS + Chronic Health points+ agepts


TotApache MAX =74


[[Category:APACHE II]]
[[Category:APACHE II | *]]
[[Category:APACHE II Physiological Variables]]
[[Category:APACHE II Physiological Variables | *]]
[[Category:ABG]]
[[Category:ABG]]
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