Apache II General Collection Guidelines

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)

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