SAPS II
SAPS II is a ... [1]
SAPS II was initially collected in Medicine Database Program.
- Start date:October 1.03
- Stop date: December 31, 2006
Legacy Data
Collection of SAPS II in Medicine was discontinued 31 Dec 2006.
SAPS – Simplified Acute Physiological Score Oct 14.2004 Who was it developed by:
- SAPS was developed by LeGall & associates in 1984
- It is now in its second generation (SAPS II)
Purpose/Use:
- It was developed to offer a more simplified version of the original APACHE model.
- Like APACHE, SAPS is an objective and quantitative measure of the severity of illness.
- Like APACHE, SAPS employs statistical methodology to determine the range for predictor variables, to assign points to each of these ranges and to convert a SAPS score to a probability of hospital mortality. (outcomes of care or the process of care).
SAPS score adjusts for co-morbidities to a more limited extend than does APACHE II.
- Like APACHE, SAPS provides a foundation of “objective” analysis, which can assist physicians, nurse managers and administrators to assess, understand and compare performance, outcomes and efficiency of health care delivery on their wards to others.
- Unlike APACHE, SAPS does not require a diagnosis to obtain the probability of hospital mortality.
Components:
- The model relies on 13 physiological variables + age
- Comorbidity – limited to metastatic Cancer, hematological
malignancy or AIDS.
- Patient type: Medical, Elective or Emergent Surgical
- Total Maximum Score = 160
Scoring Tables:
Possible Total Score
| SAPS II SCORE | Points |
| Minimum | 0 |
| Maximum | 160 |
Chronic Diseases Points
| YES | NO | |
| Metastatic Cancer | 9 | 0 |
| Hematological Malignancy | 10 | 0 |
| AIDS | 17 | 0 |
| NONE of the above | 0 | 0 |
Admit Type Points
Elective Surgery 0
Medical 6
Emergent Surgery 8
Age Points
< 39 0
40-59 7
60-69 12
70-74 15
75-79 16
>80 18
Heart Rate Points
< 39 11
40-69 2
70-119 0
120-159 4
>160 7
Temp Points
< 38.9 0
> 39 3
Systolic BP Points
< 69 13
70-99 5
100-99 0
> 200 2
Ventilated / CPAP Points
| A | B | C | |
| → | Ventilated or CPAP | Ventilated or CPAP | Ventilated or CPAP |
| YES | YES | NO | |
| → | ABG available | ABG available | |
| YES | NO | NA | |
| PaO2/Fi02 ratio | |||
| < 99 | 11 | ||
| 100-199 | 9 | ||
| > 200 | 6 | 6 | |
| 0 | 0 |
Urine Output Points
< 499 11
500-999 4
> 1000 0
Not available 0
Serum Urea Points
< 9.0 0
9.1-29.9 6
> 30 10
Not available 0
WBC Points
< 0.9 12
1.0-19.9 0
> 20.0 3
Not available 0
Serum K+ Points
< 2.9 3
3.0-4.9 0
> 5.0 3
Not available 0
Serum Na+ Points
< 124 5
125-144 0
> 145 1
Not available 0
Serum HCO3 or TCO2 Points
< 14 6
15-19 3
> 20 0
Not available 0
Direct Bilirubin (uMol/L) Points
< 3.9 0
4.0-5.9 4
> 6 9
Not available 0
Glasgow Coma Score Points
| If sedated score pt before sedation | YES | NO |
| < 5 | 26 | |
| 6-Aug | 13 | |
| 9-Oct | 7 | |
| Nov-13 | 5 | |
| 14-15 | 0 | |
| Unable to evaluate | 0 |
Discussion
- Were the Admit Type rules the same as for APACHE?Ttenbergen 23:49, 26 May 2008 (CDT)