APACHE II Background: Difference between revisions

m References: changed some more cititations to PubMed links and other links
Line 26: Line 26:
*Each physiological variable selected has been weighted with a score ranging from 0-4 points to reflect severity.
*Each physiological variable selected has been weighted with a score ranging from 0-4 points to reflect severity.
*Physiological variables with the worst deviation from normal have been assigned the higher points.
*Physiological variables with the worst deviation from normal have been assigned the higher points.
*Note about renal scoring:
*Note about renal scoring (see also [[ARF_(APACHE)]]):
**The point scores for serum creatinine are doubled if [[ARF_(APACHE)]] is checked (which would be if [[Kidney, acute renal failure NOS]] is present).  Note that even relatively small rises in serum creatinine are associated with higher rates of death for ICU patients, as indicated in [https://doi.org/10.1164/rccm.201311-2097OC Small Acute Increases in Serum Creatinine Are Associated with Decreased Long-Term Survival in the Critically Ill]
**The point scores for serum creatinine are doubled if [[ARF_(APACHE)]] is checked (which would be if [[Kidney, acute renal failure NOS]] is present).  Note that even relatively small rises in serum creatinine are associated with higher rates of death for ICU patients, as indicated in [https://doi.org/10.1164/rccm.201311-2097OC Small Acute Increases in Serum Creatinine Are Associated with Decreased Long-Term Survival in the Critically Ill]
 
 
=== Timing of collection ===
=== Timing of collection ===
Deviation in physiologic variables are selected during a patients' '''first 24 hours'''  while "in the ICU".
Deviation in physiologic variables are selected during a patients' '''first 24 hours'''  while "in the ICU".