SAPS II

SAPS II is a ... [1]

SAPS II was initially collected in Medicine Database Program.

• Start date:October 1.03
• Stop date: December 31, 2006

Legacy Data

Collection of SAPS II in Medicine was discontinued 31 Dec 2006.

SAPS – Simplified Acute Physiological Score Oct 14.2004 Who was it developed by:

• SAPS was developed by LeGall & associates in 1984
• It is now in its second generation (SAPS II)

Purpose/Use:

• It was developed to offer a more simplified version of the original APACHE model.
• Like APACHE, SAPS is an objective and quantitative measure of the severity of illness.
• Like APACHE, SAPS employs statistical methodology to determine the range for predictor variables, to assign points to each of these ranges and to convert a SAPS score to a probability of hospital mortality. (outcomes of care or the process of care).

SAPS score adjusts for co-morbidities to a more limited extend than does APACHE II.

• Like APACHE, SAPS provides a foundation of “objective” analysis, which can assist physicians, nurse managers and administrators to assess, understand and compare performance, outcomes and efficiency of health care delivery on their wards to others.
• Unlike APACHE, SAPS does not require a diagnosis to obtain the probability of hospital mortality.

Components:

• The model relies on 13 physiological variables + age
• Comorbidity – limited to metastatic Cancer, hematological

malignancy or AIDS.

• Patient type: Medical, Elective or Emergent Surgical
• Total Maximum Score = 160

Scoring Tables:

Chronic Health

SAPS II Chronic Disease item	Points
Metastatic Cancer	9
Hematological Malignancy	10
AIDS	17
NONE	0

Age Points

< 39 0

40-59 7

60-69 12

70-74 15

75-79 16

>80 18

Heart Rate Points

< 39 11

40-69 2

70-119 0

120-159 4

>160 7

Temp Points

< 38.9 0

> 39 3

Systolic BP Points

< 69 13

70-99 5

100-99 0

> 200 2

Ventilated / CPAP Points

	A	B	C
→	Ventilated or CPAP	Ventilated or CPAP	Ventilated or CPAP
	YES	YES	NO
→	ABG available	ABG available
	YES	NO	NA
PaO2/Fi02 ratio
< 99	11
100-199	9
> 200	6	6
0			0

Urine Output Points

< 499 11

500-999 4

> 1000 0

Not available 0

Serum Urea Points

< 9.0 0

9.1-29.9 6

> 30 10

Not available 0

WBC Points

< 0.9 12

1.0-19.9 0

> 20.0 3

Not available 0

Serum K+ Points

< 2.9 3

3.0-4.9 0

> 5.0 3

Not available 0

Serum Na+ Points

< 124 5

125-144 0

> 145 1

Not available 0

Serum HCO3 or TCO2 Points

< 14 6

15-19 3

> 20 0

Not available 0

Direct Bilirubin (uMol/L) Points

< 3.9 0

4.0-5.9 4

> 6 9

Not available 0

Glasgow Coma Score Points

If sedated score pt before sedation	YES	NO
< 5	26
6-Aug	13
9-Oct	7
Nov-13	5
14-15	0
Unable to evaluate		0

Chronic Diseases Points

	YES	NO
Metastatic Cancer	9	0
Hematological Malignancy	10	0
AIDS	17	0
NONE of the above	0	0

Admit Type Points

Elective Surgery 0

Medical 6

Emergent Surgery 8

Possible Total Score

The minimum total score is 0, the maximum 160.

Template:Discussion

Discussion

• Were the Admit Type rules the same as for APACHE?Ttenbergen 23:49, 26 May 2008 (CDT)