Admit Type for APACHE II

Note: This is not for Patient Type which is part of registry screen.

The Admit Type for APACHE II is a way to classify patients surgical status. It is one of the elements used to generate the APACHE score.

The classification has to be consistent for proper scoring. There have been problems in the past when urgent surgery was included under emergency surgery.

As with all APACHE items, the assessment is made during the first 24hrs in the ICU.

Data Definition/Clarification

Clarification is for the purpose of uniform application of definition at all data collection sites. There is a discrepancy in the selection of admit type for APACHE for the ICU. Those patients that are "urgent surgery" in particular seem to be an issue. Some collectors are including urgent surgery with the emergency surgery group, others as are including them with the elective surgery group. "Urgent" surgery should be coded as elective surgery. To classify a patient, follow this chart:

File:Patient Type Flowchart.gif

Template:Discussion

Discussion

• I know we have talked about this but can you define "immediate" in "immediate surgery essential for pt survival"MWaschuk 14:14, 17 June 2008 (CDT)
  • adverb at once, now, instantly, straight away, directly, promptly, right now, right away, there and then, speedily, rushed without delay, without hesitation, instantaneously, forthwith, pronto (informal) unhesitatingly, this instant, on the nail, this very minute, posthaste, tout de suite (French) before you could say Jack Robinson (informal)now or without waiting; at once; without delay or hesitation; with no time interveningTOstryzniuk 14:42, 17 June 2008 (CDT)
    • I will look into a more helpful definition for this. --Tina 17 June 2008