Apache II General Collection Guidelines: Difference between revisions
Ttenbergen (talk | contribs) →Discussion: Question re Use of pre-admission ER lab results |
TOstryzniuk (talk | contribs) m →When to collect, which value to use: minor |
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== When to collect, which value to use == | == When to collect, which value to use == | ||
*Select the physiological values that reflect the '''worst''' deviation from normal in the '''first 24 hours''' in ICU. | *Select the physiological values that reflect the '''worst''' deviation from normal in the '''first 24 hours''' in ICU. | ||
**The clock starts at the actual [[Arrive DtTm field | Arrive DtTm ]], ([[Admit date and time]]) into the ICU. | |||
*''Worst'' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]]. | *''Worst'' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]]. | ||
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*NOTE: The Higher the APACHE score, the sicker the patient. | *NOTE: The Higher the APACHE score, the sicker the patient. | ||
=== Use of pre-admission ER | === Use of pre-admission ER LAB results === | ||
{{discussion}} | {{discussion}} | ||
'''The following refers to an ongoing discussion, not to a change in collection rules:''' | '''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 | As discussed in the [[:Category:Critical Care Review Group|Critical Care Review Group]], the last 4 hours in the ER/OR/ward preceding admission to the ICU may be admissible data for APACHE values ''only if'' there is 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)[[User:Ttenbergen|Ttenbergen]] 19:00, 2012 September 6 (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)[[User:Ttenbergen|Ttenbergen]] 19:00, 2012 September 6 (CDT) | ||
** anyone? Ttenbergen 14:12, 2014 September 19 (CDT) | ** anyone? Ttenbergen 14:12, 2014 September 19 (CDT) | ||