Apache II General Collection Guidelines: Difference between revisions

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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)
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)


== Missing Value Rule ==
== Missing Value Rule see [[:Category: Template: Missing Values Rule for APACHE II]] ==
 
 
=== For patients who '''"died" in ICU'''===
For patients who '''"died" in ICU''' and have '''no''' data available in ICU to record for an APACHE select the APACHE data that is closest to the time 'prior to' ICU admission ( values from ER, ward, etc.).
 
If these are NOT available then:
 
1. For vital signs ('''[[HR]], [[BP]] mean, [[RR]] only'''), select the lowest limit value on the APACHE table that will give you the highest score.
 
2. Record '''normal''' values for: [[temperature]], [[Serum CO2]], [[Na]], [[K]], [[Creatinine]], [[HCT]] and [[WBC]].


== Elective Surgery see [[Admit Type for APACHE II]]==
== Elective Surgery see [[Admit Type for APACHE II]]==

Revision as of 19:42, 9 March 2009

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.
  • Worst value could be high or low, depending which gives the most points.

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

If the length of stay in ICU is less than 24, use those values only.

  • NOTE: The Higher the APACHE score, the sicker the patient.

Discussion

  • where is this data taken from? 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 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? Ttenbergen 13:12, 17 October 2008 (CDT)

Missing Value Rule see Category: Template: Missing Values Rule for APACHE II

Elective Surgery see Admit Type for APACHE II

Chronic Health Diagnosis for APACHE II

12 Physiological Variable

  1. Temperature
  2. Mean BP mean blood pressure
  3. HR( Heart Rate)
  4. RR (Respiratory Rate)
  5. ABG No ABG Available Rule? use serum CO2
  6. PH
  7. Na
  8. K
  9. CREAT
  10. HCT
  11. WBC
  12. GCS Glasgow Coma Scale
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