Chronic Health APACHE

trying to pull together an clean up this mess... look at the original pages for now

• remove when done Chronic Health table for APACHE II
  • only linked from Chronic Health Diagnosis for APACHE II

Ttenbergen 13:06, 28 October 2010 (CDT)

This article is about Chronic Health in the context of the APACHE score, see Comorbid Diagnosis for info on the comorbidities we collect.

The Chronic Health field is stores information about specific chronic pre-existing underlying disease conditions. This value is used in conjunction with Admit Type for APACHE II to calculate the Chronic_Health_Score, one of the components of the .

To be considered to be a chronic disease, the chronic condition have been documented as present before current hospitalization.

Chronic Health Table

Dropdown in CCMDB.mdb	Orignial APACHE II CH list with definitions
1. Immuncompromized	Receiving therapy that suppresses resistance to infection such as: Template:Discussion such as what? Ttenbergen 13:06, 28 October 2010 (CDT)
2. Met Cancer
3. HematMalign	e.g. Lymphoma or Leukemia treated with Chemo Radiation ≥10 mg prednisone
4. AIDS	at least one of the following: ≥15mg/kg/day hydrocortisone >3 mg/kg’day of methylprednisolone for >5 days Template:Discussion what if pt is there for less than 5 days? sufficiently advanced disease to suppress resistance to infection
5. CRF-severe	Receiving Chronic out-patient hemo- or peritoneal dialysis prior to hospital admission.
6. Liver-severe	any of: biopsy proven cirrhosis & previously documented portal hypertension past episodes of GI bleeds related to portal hypertension or varicies hepatic failure or encephalopathy or coma
7. Lung severe	any of the following that results in severe exercise restriction (i.e. unable to climb stairs or perform household duties): COPD-severe Restrictive lung disease-severe Vascular disease-severe or any of the following documented chronic hypoxia or hypercapnia, secondary polycythemia Pulmonary HTN on home O2 Ventilator dependent
8. CVS min exert	Class 4 Angina - pain @ rest or with minimal exertion
9. No Chronic Health