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)
Missing Value Rule see Category: Template: 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?TOstryzniuk 19:43, 9 March 2009 (CDT)