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)

==~~[[Template:See~~ Missing Values Rule]] ==

==Missing Values Rule for APACHE II==

*it is a ~~problem that this~~ is ~~a TEMPLATE~~ because it is ~~too much~~ to ~~add~~ to ~~each~~ APACHE II ~~element article~~. ~~Suggestions~~?[[User:~~TOstryzniuk~~|~~TOstryzniuk~~]] 19:43, ~~9 March~~ 2009 (CDT)

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).

* notes 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)

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.

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

Patients who have died in the unit and have NO data available to record for an APACHE II:

1. select the physiological variable that is '''closest''' to the time "prior to" unit admission such as ER or ward.

2. If the above is NOT an option then the following applies:

'''A.''' For the following vital signs elements-select the '''lowest limit value''' on the APACHE score table that will give you the highest score.

**This applies to the following fields:

***[[HR]] -(Heart Rate)

***[[BP]] -(Blood Pressure)

***[[RR]] -(Respiratory Rate)

'''B.''' FOR other APACHE elements-record '''NORMAL values'''. Normal values are those items that give you a zero APACHE II point.

**This applied to the following fields:

***T -[[Temperature]]

***CO2 -[[serum CO2]] - use 25

***[[Na]] -(Sodium)

***[[K]] -(Potassium)

***[[CREAT]] -(Creatinine)

***[[HCT]] -(Hematocrit)

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

===discussion===

Just to be clear - do the instructions under this main heading really only apply to dead people? [[User:Ttenbergen|Ttenbergen]] 23:23, 4 May 2009 (CDT)

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

@@ Line 14: / Line 14: @@
 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)
-==[[Template:See Missing Values Rule]] ==
+==Missing Values Rule for APACHE II==
-*it is a problem that this is a TEMPLATE because it is too much to add to each APACHE II element article.  Suggestions?[[User:TOstryzniuk|TOstryzniuk]] 19:43, 9 March 2009 (CDT)
+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).
+{{Discussion}}
+* notes 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)
+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.
+==Missing Values Rules for APACHE II for patients who DIED shortly after arriving in unit==
+Patients who have died in the unit and have NO data available to record for an APACHE II:
+. select the physiological variable that is '''closest''' to the time "prior to" unit admission such as ER or ward.
+. If the above is NOT an option then the following applies:
+'''A.''' For the following vital signs elements-select the '''lowest limit value''' on the APACHE score table that will give you the highest score.
+**This applies to the following fields:
+***[[HR]] -(Heart Rate)
+***[[BP]] -(Blood Pressure)
+***[[RR]] -(Respiratory Rate)
+'''B.''' FOR other APACHE elements-record '''NORMAL values'''. Normal values are those items that give you a zero APACHE II point.
+**This applied to the following fields:
+***T -[[Temperature]]
+***CO2 -[[serum CO2]] - use 25
+***[[Na]] -(Sodium)
+***[[K]] -(Potassium)
+***[[CREAT]] -(Creatinine)
+***[[HCT]] -(Hematocrit)
+***[[WBC]] -(White Blood Count)
+{{discussion}}
+===discussion===
+Just to be clear - do the instructions under this main heading really only apply to dead people? [[User:Ttenbergen|Ttenbergen]] 23:23, 4 May 2009 (CDT)
 == Elective Surgery see [[Admit Type for APACHE II]]==