APACHE physiological variable collection

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You can not enter 0 for APACHE physiological variables, and you can't leave them blank.

Patient lived

If a specific physiological variable is not available during the first 24 hours when admitted to ICU then select a value closest to the time prior to admission to the unit, (max 24 hrs prior to admission). Make a note in your Notes field and record date time and location this variable was obtained from (e.g. ER or ward).

If no information is available, then assume it was not tested because it was normal. Record the midpoint of the normal range for this value, which will generate a normal APACHE score for this item. The midpoint of each normal range can be found by double-clicking on the Apache score for the field in CCMDB.mdb.

Patient DIED shortly after arriving in unit

We don't want values of dead people. For patients who died in the unit and have no data available to record for any one of the physiological variables during their stay on the unit:

1. Select the value that is closest to the time "prior to" unit admission such as ER or ward.

2. If the above is NOT an option then the following applies:

A. For the following vital signs elements-select the lowest limit value on the APACHE score table that will give you the highest score.

  • This applies to the following fields:
    • HR - (Heart Rate)
    • BP - (Blood Pressure)
    • RR - (Respiratory Rate)

B. For other APACHE elements-record NORMAL values. Normal values are those items that give you a zero APACHE II point.