ICU Diagnosis APACHE Category Rate: Difference between revisions
Ttenbergen (talk | contribs) m Text replacement - "Definition of a Critical Care Laptop Admission" to "Definition of a Critical Care Program Admission" |
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| created_raw = Created | | created_raw = Created | ||
| program = Critical Care | | program = Critical Care | ||
| indicator_start_date = | | indicator_start_date = 2016-Oct-1 | ||
| indicator_end_date = | | indicator_end_date = | ||
}} | }} | ||
== Background == | == Background == | ||
The APACHE II model to predict death rate for groups of acutely ill patients is composed of the [[APACHE Score]] | The APACHE II model to predict death rate for groups of acutely ill patients is composed of the [[APACHE Score]], sets of principal diagnostic categories leading to ICU admission and type of patient as nonoperative or post-operative. Each diagnostic category has corresponding weight in the model. | ||
The list of the diagnostic categories is shown in [[APACHE Acute Dxs in ICD10 codes]] and its associated weights are shown in the [[ | The list of the diagnostic categories is shown in [[APACHE Acute Dxs in ICD10 codes]] and its associated weights are shown in the [[S ICD10 APACHE Dx patterns table]]. | ||
There are 30 non-operative diagnosis categories and 24 post-operative diagnosis categories included in the APACHE Death predictive model. These diagnosis categories are further grouped into '''eight''' broad categories by Dr. Kendiss Olafson for QI reporting purposes as follows: | There are 30 non-operative diagnosis categories and 24 post-operative diagnosis categories included in the APACHE Death predictive model. These diagnosis categories are further grouped into '''eight''' broad categories by Dr. Kendiss Olafson for QI reporting purposes as follows: | ||
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# Metabolic,Renal & GI Disorders, Hypovolemic Shock | # Metabolic,Renal & GI Disorders, Hypovolemic Shock | ||
# Sepsis and Septic Shock | # Sepsis and Septic Shock | ||
The eight Broader Diagnostic Categories are also included in the [[ | The eight Broader Diagnostic Categories or '''DxGrp_label''' are also included in the [[S ICD10 APACHE Dx patterns table]]. | ||
===QI domain=== | ===QI domain=== | ||
*Understanding of patient population | *Understanding of patient population | ||
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===Inclusion Criteria=== | ===Inclusion Criteria=== | ||
100% Admissions - see [[Definition of a Critical Care | 100% Admissions - see [[Definition of a Critical Care Program Admission]] | ||
===Exclusion Criteria=== | ===Exclusion Criteria=== | ||
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==Definition and Derivation== | ==Definition and Derivation== | ||
*Post Operative patient - when the patient's [[Previous Location]] prior to ICU is Operating or Recovery Room. | *Post Operative patient - when the patient's [[Previous Location]] prior to ICU is Operating or Recovery Room. | ||
*The patient based on the | *The patient based on the [[Admit Diagnoses]] and/or admit procedures maybe assigned to one or more diagnostic categories. | ||
**The diagnostic category with the highest weight is the final diagnostic category assigned to the patient. | **The diagnostic category with the highest weight is the final diagnostic category assigned to the patient. | ||
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*[[Admit Diagnoses]] | *[[Admit Diagnoses]] | ||
* Admit Procedures [[CCI1 code]], [[CCI2 code]], [[CCI Picklist]] | * Admit Procedures [[CCI1 code]], [[CCI2 code]], [[CCI Picklist]] | ||
* [Previous Location]] | * [[Previous Location]] | ||
==SAS Program== | ==SAS Program== | ||
The SAS program | *The SAS program for the Diagnostic Category:S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\ICD10_ApachePredHospMort_byPriority.sas | ||
*The SAS program for the graphical report: S:\MED\MED_CCMED\Julie\SAS_CFE\CC_reports\ChartReport\3-prepCCChart_ApacheDxGrp_94_startJan2020.sas | |||
==Related articles== | ==Related articles== | ||
[[Category:APACHE II]] | [[Category:APACHE II]] | ||