|
|
| Line 101: |
Line 101: |
|
| |
|
| ==Acute Renal Failure== | | ==Acute Renal Failure== |
| '''ARF''' is recorded only if '''both''' of the following criteria as outlined by APACHE II are met:
| |
| * Creatinine value is ≥ 133 mmols
| |
| '''and'''
| |
| * Urine Output is ≤ 135 cc in an 8 hour period during the first 24 hours in unit.
| |
|
| |
|
| '''ARF''' is '''not''' recorded for all other cases including those patients who have history of Chronic Renal Failure (CRF) and are on dialysis.
| | * ARF is '''YES''' only if: |
|
| |
|
| APACHE points for Creatinine are doubled if the above two criteria are met.
| | *#Creatinine value is ≥ 133 mmols |
| | '''and''' |
| | *#Urine Output is ≤ 135 cc in an 8 hour period during the first 24 hours in unit. |
|
| |
|
| === Discussion ===
| | *APACHE points for Creatinine are doubled if the above two criteria are met. |
| * is it no or yes for a CRF patient who happens to meet the "yes" requirements?[[User:Ttenbergen|Ttenbergen]] 22:51, 4 June 2008 (CDT) ** Correct [[User:TOstryzniuk|TOstryzniuk]] | |
| *** Let me rephrase that. If a patient has a creatinine of >= 133 and a urine output <= 135 and is also CRF and on dialysis, will they be coded as ARF? The instruction above doesn't address that case and needs to be changed to instruct to either say "yes" or "no" this scenario. [[User:Ttenbergen|Ttenbergen]] 09:32, 18 June 2008 (CDT)
| |
|
| |
|
| {{Discussion}}
| | *'''ARF''' is '''NO''' if: |
| | patient who don't meet the above two criteria |
| | '''or''' |
| | is has a diagnosis of Chronic Renal Failure (CRF) and are on chronic out patient dialysis. |
|
| |
|
| == Discussion == | | == Discussion == |