APACHE Scoring table

The Scoring table for APACHE II describes how various fields we collect affect the ultimate APACHE II score. The score itself is automatically calculated, no manual addition needs to be performed.

Chemistry Values

Points	4	3	2	1	0	1	2	3	4
Temperature	≥41	39-40.9		38.5-38.9	36-38.4	34-35.9	32-33.9	30-31.9	≤
									29.9
m BP	≥160	130-159	110-129		70-109		50-69		≤49
HR	≥180	140-179	110-139		70-109		55-69	40-54	≤39
RR	≥50	35-49		25-34	Dec-24	10-Nov	6-Sep		≤5
AaDO2 (if FiO2 >= 50%)	≥500	350-499	201-349		200
PO2 (if FiO2 < 50%)					70	61-69		55-60	≤54
Arterial pH	≥7.7	7.6-7.69		7.5-7.59	7.33-7.49		7.25-7.32	7.15-7.24	≤ 7.14
Serum CO2 (If no ABG)	≥52	41-51.9		32-40.9	22-31.9		18-21.9	15-17.9	≤14
Na	≥180	160-179	155-159	150-154	130-149		120-129	111-119	≤110
K +	≥7	6-6.9		5.5-5.9	3.5-5.4	3-3.4	2.5-2.9		≤2.4
Creat (*Double point if yes for ARF)	≥309	178-308	133-177		53-132		52
HCT	≥60		50-59.9	46-49.9	30-45.9		20-29.9		≤19
WBC	≥40		20-39.9	15-19.9	3-14.9		1-2.9		<1

Glasgow Coma Scale

For information on collecting and coding the values, see the Glasgow Coma Scale article.

A Glasgow Coma Scale score of 15 would be considered "Total Neuro Points".

The Glasgow Coma Scale is scored in APACHE II as follows:

Points	6	5	4	3	2	1
EYES			Spontaneous	To Speech	To Pain	None
MOTOR	Obeys Command	Localizes Pain	Withdraws to Pain	Abnormal Flexion	Abnormal Extension	None
VERBAL		Oriented	Confused	Inappropriate words	Incomprehensive sounds	None

Calculations

Mean Blood Pressure

Mean BP = ((2x Diastolic) + Systolic) ÷ 3

AaDO2 (for Fi02 >= 50 %)

AaDO2 = ((FiO2 * 713) - P02) - C02

Age Points

The age of the patient is automatically generated from the date of birth and the date of admission when collecting data.

≤44	45-54	55-64	65-74	≥75
0	2	3	5	6

before de-stubbing

• confirm if age calculated from admission date

to do before de-stubbing

• finsih moving paper content to here.