Apache II General Collection Guidelines: Difference between revisions

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=== Discussion ===

* where is this data taken from? [[User:Ttenbergen|Ttenbergen]] 22:34, 4 June 2008 (CDT)

'''The following refers to an ongoing discussion, not to a change in collection rules:'''

As discussed in the [[:Category:Critical Care Review Group|Critical Care Review Group]], the last 4 hours in the ER preceeding admission to the ICU may be admissible data for APACHE values if no data is available for the first 24 hours ''in'' ICU. Is this a rule we are using? [[User:Ttenbergen|Ttenbergen]] 13:12, 17 October 2008 (CDT)

* The above seems to be in conflict with the missing value rule below. Is it 4 or 24 hrs prior to admission? Is this really limited to values from the ER?[[User:Ttenbergen|Ttenbergen]] 15:38, 2 May 2011 (CDT)

==Missing Values Rule for APACHE II==

== Missing Values Rule for APACHE II ==

If a specific physiological variable in '''not''' available during the first 24 hours when admitted to ICU then select a value closest to the time '''prior to''' admission to the unit, (max 24 hrs prior to admission). Make a note in your ~~comments~~ and record date time and location this variable was obtained from (e.g. ER or ward).

If a specific physiological variable is '''not''' available during the first 24 hours when admitted to ICU then select a value closest to the time '''prior to''' admission to the unit, (max 24 hrs prior to admission). Make a note in your [[Notes field]] and record date time and location this variable was obtained from (e.g. ER or ward).

~~===Discussion===~~

~~{{Discussion}}~~

* Contents of the [[Notes field]] do not get sent with patient data. Is there any sense in taking such a note, then? [[User:Ttenbergen|Ttenbergen]] 23:23, 4 May 2009 (CDT)

**There is a comment or note section in ACCESS when reviewing files that I use. Do these comments not get sent with the pt data?--[[User:MWaschuk|MWaschuk]] 10:28, 5 May 2009 (CDT)

***You caught a hole in documentation here, Mary-Lou. I just made an article for it. No, contents of the Notes field are not sent in. [[User:Ttenbergen|Ttenbergen]] 13:13, 6 May 2009 (CDT)

If no information is available, then assume it was not tested because it was normal. Record the normal APACHE values for this item. (normal value is the value that give you zero points from the APACHE II scoring table.

If no information is available, then assume it was not tested because it was normal. Record the midpoint of the normal range for this value, which will generate a normal APACHE score for this item. The midpoint of each normal range can be found by double-clicking on the Apache score for the field in CCMDB.mdb.

===Missing Values Rules for APACHE II for patients who DIED shortly after arriving in unit===

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**[[HCT]] -(Hematocrit)

**[[WBC]] -(White Blood Count)

*applies to those patient who have been admitted to ICU and die shortly after admission. The guidelines outlines which apache values to use. No blanks and no zero's. We don't want values of dead people. Choose values closet to the time of admission if there are any, if there are no values, then follow the rules above.

@@ Line 9: / Line 9: @@
 === Discussion ===
-* where is this data taken from? [[User:Ttenbergen|Ttenbergen]] 22:34, 4 June 2008 (CDT)
+{{discussion}}
 '''The following refers to an ongoing discussion, not to a change in collection rules:'''
 As discussed in the [[:Category:Critical Care Review Group|Critical Care Review Group]], the last 4 hours in the ER preceeding admission to the ICU may be admissible data for APACHE values if no data is available for the first 24 hours ''in'' ICU. Is this a rule we are using? [[User:Ttenbergen|Ttenbergen]] 13:12, 17 October 2008 (CDT)
+* The above seems to be in conflict with the missing value rule below. Is it 4 or 24 hrs prior to admission? Is this really limited to values from the ER?[[User:Ttenbergen|Ttenbergen]] 15:38, 2 May 2011 (CDT)
-==Missing Values Rule for APACHE II==
+== Missing Values Rule for APACHE II ==
-If a specific physiological variable in '''not''' available during the first 24 hours when admitted to ICU then select a value closest to the time '''prior to''' admission to the unit, (max 24 hrs prior to admission). Make a note in your comments and record date time and location this variable was obtained from (e.g. ER or ward).
+If a specific physiological variable is '''not''' available during the first 24 hours when admitted to ICU then select a value closest to the time '''prior to''' admission to the unit, (max 24 hrs prior to admission). Make a note in your [[Notes field]] and record date time and location this variable was obtained from (e.g. ER or ward).
-===Discussion===
-{{Discussion}}
-* Contents of the [[Notes field]] do not get sent with patient data. Is there any sense in taking such a note, then? [[User:Ttenbergen|Ttenbergen]] 23:23, 4 May 2009 (CDT)
-**There is a comment or note section in ACCESS when reviewing files that I use.  Do these comments not get sent with the pt data?--[[User:MWaschuk|MWaschuk]] 10:28, 5 May 2009 (CDT)
-***You caught a hole in documentation here, Mary-Lou. I just made an article for it. No, contents of the Notes field are not sent in. [[User:Ttenbergen|Ttenbergen]] 13:13, 6 May 2009 (CDT)
-If no information is available, then assume it was not tested because it was normal.  Record the normal APACHE values for this item. (normal value is the value that give you zero points from the APACHE II scoring table.
+If no information is available, then assume it was not tested because it was normal.  Record the midpoint of the normal range for this value, which will generate a normal APACHE score for this item. The midpoint of each normal range can be found by double-clicking on the Apache score for the field in CCMDB.mdb.
 ===Missing Values Rules for APACHE II for patients who DIED shortly after arriving in unit===
@@ Line 47: / Line 41: @@
 **[[HCT]] -(Hematocrit)
 **[[WBC]] -(White Blood Count)
 *applies to those patient who have been admitted to ICU and die shortly after admission.  The guidelines outlines which apache values to use.  No blanks and no zero's.  We don't want values of dead people. Choose values closet to the time of admission if there are any, if there are no values, then follow the rules above.