Admit Type for APACHE II: Difference between revisions
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*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 "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). | ||
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* at some point we went through a thorough definition of this at [[Emergency Surgery (concept)]] - should we refer to that, or keep this reduced definition? [[User:Ttenbergen|Ttenbergen]] 17:09, 2021 April 22 (CDT) | * at some point we went through a thorough definition of this at [[Emergency Surgery (concept)]] - should we refer to that, or keep this reduced definition? [[User:Ttenbergen|Ttenbergen]] 17:09, 2021 April 22 (CDT) | ||
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Revision as of 09:35, 2021 September 2
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).
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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.
- All other patients (even those with recent surgeries), are classified as "Medical" for their Apache Admit type.
Relevance
Patients with:
- Chronic Health APACHE + emergent surgery or non operative (medical patient) = 5 points
- Chronic Health APACHE + elective surgery = 2 points
- No Chronic Health APACHE = 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.