APACHE Acute Diagnoses: Difference between revisions

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*Before Jan 2019, Drs. Carla Chrusch and  Kendiss Olafson did the mapping of the old admit diagnosis coding to the diagnosis categories included in the model.
*Before Jan 2019, Drs. Carla Chrusch and  Kendiss Olafson did the mapping of the old admit diagnosis coding to the diagnosis categories included in the model.
*Starting Jan 2019, Dr. Allan Garland did the mapping of the admit ICD10 codes and CCI codes to the diagnosis categories included in the model.
*Starting Jan 2019, Dr. Allan Garland did the mapping of the admit ICD10 codes and CCI codes to the diagnosis categories included in the model.
**The list of admit diagnosis ICD10 codes is shown in [[APACHE Acute Dxs in ICD10 codes]]
**The list of admit diagnosis ICD10 codes is shown in [[APACHE Acute Dxs in ICD10 codes]]
**the list of admit CCI procedures used in combination with the admit ICD10 codes is shown  in   [[ to be done by TT]]  
{{TT|
**The list of admit CCI procedures used in combination with the admit ICD10 codes is shown  in
*** Need to document this. [[User:Ttenbergen|Ttenbergen]] 16:09, 2022 June 2 (CDT)
}}


{{DJ| to be continued by JM }}
{{DJ| to be continued by JM }}

Revision as of 16:09, 2022 June 2

This is about the disease category which is one of the components in the model of predicting hospital mortality. The other components of the model are the APACHE Score and the presence or absence of Emergency Surgery (concept).

This is not about Chronic Health APACHE or the APACHE Comorbid Diagnoses.

How to Determine the Diagnosis Category For each Patient

  • Each disease category or diagnosis leading to ICU admission has an associated weight in the model and varies for non-operative and post-operative patients.
    • Post-operative patients are those with Previous Location either Operating Room or Recovery Room.
  • There are weights for specific diagnosis categories and for major organ systems. The specific diagnosis category leading to ICU admission will first be determined based on the priority list in the descending order of the weights and if found none, then the major organ system following the priority list also in descending order will be used instead.
    • For non-operative patients, there are 24 specific diagnosis categories while 18 for post-operative patients.
    • There are 5 major vital organ system for both non-operative and post-operative patients (e.g.Nuerological, Cardiovascular, Respiratory, Gastrointestinal, Metabolic/renal) and all others NOS.
  • The diagnosis having the highest weight is assigned to the patient.

ICD10 Mapping of Diagnosis Category

  • Before Jan 2019, Drs. Carla Chrusch and Kendiss Olafson did the mapping of the old admit diagnosis coding to the diagnosis categories included in the model.
  • Starting Jan 2019, Dr. Allan Garland did the mapping of the admit ICD10 codes and CCI codes to the diagnosis categories included in the model.

    • The list of admit CCI procedures used in combination with the admit ICD10 codes is shown in
      • Need to document this. Ttenbergen 16:09, 2022 June 2 (CDT)
  • added: no added date
  • action: no action date
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to be continued by JM

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The APACHE Acute Diagnoses is a component of the APACHE Score. This is not collected specifically, but instead assigned behind the scenes based on whether any of the Admit Diagnosis is on a list of diagnoses that correspond to the diagnoses in the original Apache study.

Implementation in CCMDB

The

draws on the

The contents of the

are then used by the

to provide the list of ICD10 APACHE Acute Diagnoses for patient records.

For a list of these diagnoses on this wiki, see

  • You and Allan discussed what should be on the list. At some point we will need to integrate the result into this query. Did you end up including Acquireds? Since the first 24hrs might include them, but they might happen later, and the difference is not clear from Dx_Date? Ttenbergen 20:20, 2018 November 24 (CST)
    • is this the list which Allan gave about the APACHE Comorbids conditions namely liver, cardiovascular, respiratory, renal and immunocompromised? allan said exclude the admits and include only the comorbids. but we still have to discuss the comparative results. --JMojica 16:45, 2022 February 16 (CST)
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further on this wiki

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