Admit Type for APACHE II: Difference between revisions
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*Admit type for the Apache is coded as "Elective Surgery" only if: The patient had a non-emergent surgery, and was admitted directly from the OR or the Recovery Room. | *Admit type for the Apache is coded as "Elective Surgery" only if: The patient had a non-emergent surgery, and was admitted directly from the OR or the Recovery Room. | ||
*All other patients (even those with recent surgeries), are classified as "Medical" for their Apache Admit type. | *All other patients (even those with recent surgeries), are classified as "Medical" for their Apache Admit type. | ||
== Relevance == | == Relevance == |
Revision as of 15:06, 2021 January 21
Data Element (edit) | |
Field Name: | Ap_AdmitType |
CCMDB Label: | Admit Type |
CCMDB tab: | Apache |
Table: | L_Log table |
Data type: | string |
Length: | 10 |
Program: | Med and CC |
Created/Raw: | Raw |
Start Date: | 1988-07-11 |
End Date: | 2300-01-01 |
Sort Index: | 55 |
Admit type for APACHE
The Admit Type for APACHE II is a way to classify patients' surgical status and one of the elements used to generate the APACHE score. The possible values are stored in S AP AdmitType.
- Admit type for the Apache is coded as "Surgical Emergency" only if: The patient was admitted directly from the OR or the Recovery Room, and if the surgery was essential for patient survival (at HSC coded as an "E1" by the surgical team).
- Admit type for the Apache is coded as "Elective Surgery" only if: The patient had a non-emergent surgery, and was admitted directly from the OR or the Recovery Room.
- All other patients (even those with recent surgeries), are classified as "Medical" for their Apache Admit type.
Relevance
Patients with:
- Chronic disease + emergent surgery or non operative (medical patient) = 5 points
- Chronic disease + elective surgery = 2 points
- No chronic disease = 0 points
CCI has no concept for emergent
CCI has no way to code the concept of "emergent" so we need to continue to collect this item as is.