Selection and timing of APACHE components: Difference between revisions

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== Collection Instructions ==

Choose the '''''worst''''' value that occurs '''within the 24 hours after [[~~Accept DtTm~~]]'''.

Choose the '''''worst''''' value that occurs '''within the 24 hours after the first [[Service tmp entry]] DtTm'''.

The '''''worst''''' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]].

~~== Iatrogenically changed values ==~~

See [[APACHE physiological variable collection]] for what to do if there are no values available in the first 24 hours.

~~Keep in mind the diagnosis and try not to include iatrogenically modified values, e.g. BP severely high due to inotropes or decreased LOC due to sedation.~~

~~However, if a value is assessed as part of testing whether an intervention works, that value is not necessarily ineligible (e.g. see~~ [[~~Arterial_blood_gas_(~~APACHE~~)#ABGs_as_part_of_apnea_tests~~]]).

== Log ==

* 2020-10-15 - used to start at [[Arrive DtTm]], now starts at [[Accept DtTm]]; it is possible that there used to be a rule "currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours" but it no longer applies.

* 2020-10-15 - used to start at "Arrive DtTm", now starts at "Accept DtTm"; it is possible that there used to be a rule "currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours" but it no longer applies.

== Related articles ==

[[Category: APACHE II]]

[[Category:APACHE II]]

@@ Line 2: / Line 2: @@
 == Collection Instructions ==
-Choose the '''''worst''''' value that occurs '''within the 24 hours after [[Accept DtTm]]'''.
+Choose the '''''worst''''' value that occurs '''within the 24 hours after the first [[Service tmp entry]] DtTm'''.
 The '''''worst''''' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]].
-== Iatrogenically changed values ==
+See [[APACHE physiological variable collection]] for what to do if there are no values available in the first 24 hours.
-Keep in mind the diagnosis and try not to include iatrogenically modified values, e.g. BP severely high due to inotropes or decreased LOC due to sedation.
-However, if a value is assessed as part of testing whether an intervention works, that value is not necessarily ineligible (e.g. see [[Arterial_blood_gas_(APACHE)#ABGs_as_part_of_apnea_tests]]).
 {{Timing for ALERT vs APACHE}}
 == Log ==
-* 2020-10-15 - used to start at [[Arrive DtTm]], now starts at [[Accept DtTm]]; it is possible that there used to be a rule "currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours" but it no longer applies.
+* 2020-10-15 - used to start at "Arrive DtTm", now starts at "Accept DtTm"; it is possible that there used to be a rule "currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours" but it no longer applies.
 == Related articles ==
 {{Related Articles}}
-[[Category: APACHE II]]
+[[Category:APACHE II]]