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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]]  
{{#ask: [[Category:APACHE II Physiological Variables]]  
| ?AP phys name
| ?AP phys name
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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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:if [[Chronic Health APACHE]] is "none" then  
:if [[Chronic Health APACHE]] is "none" then  
:: Score = 0
:: Score = 0
===APSpts - Acute Physiological Points===
APS = scores as per [[#Physiological_Variables]]
APSpts MAX score = 48


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


TotApache MAX =74
TotApache MAX =74


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




== Old table, keeping until we have confirmed new is same as old ==
{| border="1" class="wikitable"
|- 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 and <160
| >=110 and <130
|
| height="16" style="background-color:#CCCCE6" | >=70 and <110
| &nbsp;
| >=50 and <70
| &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 and <500
| >=200 and <350
| &nbsp;
| style="background-color:#CCCCE6" | <200 [[#*4 AaDO2 can be 0 or negative |*4]]
| &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" | >=70
| >=60 and <70
| &nbsp;
| >=55 and <60
| <55
| 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
|}


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