ARF (APACHE): Difference between revisions
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== Additional Info == | == Additional Info == | ||
*In original APACHE II there were no criteria given for what constitutes Acute Renal Failure. So, we came up with criteria based on serum creatinine and urine output. As we implemented ICD-10, we decided to use a uniform definition, i.e. the same one here as for the various ICD10 diagnoses of Acute Renal Failure -- i.e. the KDIGO guidelines. | *In original APACHE II there were no criteria given for what constitutes Acute Renal Failure. So, we came up with criteria based on serum creatinine and urine output. As we implemented ICD-10, we decided to use a uniform definition, i.e. the same one here as for the various ICD10 diagnoses of Acute Renal Failure -- i.e. the KDIGO guidelines. | ||
**there were criteria for ARF in the APACHE II user manual 1986, Ver 1.0, that we applied when we started in 1988, they were: | |||
***creatinine PLUS oliguria. Oliguria was defined as: urine output of less than 135 cc over a consecutive 8 hr period in the first 24 hrs of ICU admission. | |||
***Copy of this APACHE II User Manual can be found in the article archives library located: HSC in JJ387. | |||
== Coding {{g | Guideline}} == | == Coding {{g | Guideline}} == | ||
Revision as of 19:23, 2018 November 23
Information on this page applies to the APACHE II ARF dropdown only; for the diagnosis code see any one of the several ICD10 codes for types/causes of ARF.
| Data Element (edit) | |
| Field Name: | Ap_ARF |
| CCMDB Label: | ARF |
| CCMDB tab: | not stated |
| Table: | L_Log table |
| Data type: | number |
| Length: | single |
| Program: | CC |
| Created/Raw: | Raw |
| Start Date: | 1988-07-11 |
| End Date: | 2300-01-01 |
| Sort Index: | 77 |
The ARF checkbox is checked/true if patient is in Acute Renal Failure as per the APACHE definition.
Additional Info
- In original APACHE II there were no criteria given for what constitutes Acute Renal Failure. So, we came up with criteria based on serum creatinine and urine output. As we implemented ICD-10, we decided to use a uniform definition, i.e. the same one here as for the various ICD10 diagnoses of Acute Renal Failure -- i.e. the KDIGO guidelines.
- there were criteria for ARF in the APACHE II user manual 1986, Ver 1.0, that we applied when we started in 1988, they were:
- creatinine PLUS oliguria. Oliguria was defined as: urine output of less than 135 cc over a consecutive 8 hr period in the first 24 hrs of ICU admission.
- Copy of this APACHE II User Manual can be found in the article archives library located: HSC in JJ387.
- there were criteria for ARF in the APACHE II user manual 1986, Ver 1.0, that we applied when we started in 1988, they were:
Coding Guideline
For critical care only: The ARF (Acute Renal Failure) dropdown for APACHE defaults to "enter"; you won't be able to send unless you change it to one of the following:
- Choose "yes" if any one or more of the following are true (these are the KDIGO guidelines)KDIGO guidelines:
- Increase in serum creatinine by 26 micromoles/L or more within 48 hours
- Increase in serum creatinine to 1.5 times baseline or more within the last 7 days
- Urine output less than 0.5 mL/kg/hour for 6 hours
Choose "no" if the pt
- has CRF in comorbids or
- does not meet the above "yes" conditions.
Data Use
ARF is one component used to generate the APACHE II score.
Specifically, double points are assigned for the Creatinine score if the patient has ARF . (see APACHE Scoring table#Physiological Variables)
CCMDB Data Integrity Checks
See also
see Category:Renal Problem (old) for other renal problems