Selection and timing of APACHE components: Difference between revisions
Ttenbergen (talk | contribs) mNo edit summary |
Ttenbergen (talk | contribs) m (moved exceptional value instructions back to APACHE physiological variable collection because it's not part of selection or timing.) |
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The ''Worst'' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]]. | The ''Worst'' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]]. | ||
Keep in mind the diagnosis and try not to include iatrogenically modified values, e.g. BP severely high due to inotropes or decreased LOC due to sedation. | Keep in mind the diagnosis and try not to include iatrogenically modified values, e.g. BP severely high due to inotropes or decreased LOC due to sedation. | ||
Revision as of 15:37, 2020 December 23
This page explains how to select physiological or GCS values for entry into the fields used for Apache in CCMDB.accdb.
APACHE
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Instructions
Choose the worst value that occurs within the 24 hours after Accept DtTm.
This page is just a place holder for now, I am currently consolidating this info here. Ttenbergen 14:09, 2020 December 23 (CST) |
Moved here from Change to start collection at accept rather than arrive time needs integration: The APACHE elements time frame will start in the off-ward bed location.
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From APACHE physiological variable collection, needs integrating: Select the physiological values that reflect the worst deviation from normal in the first 24 hours while "in" the ICU. The clock starts at the Arrive DtTm . If the length of stay in ICU is less than 24, use those values only.
We decided that a record starts at service acceptance, not unit arrival. This was partly to change the strange exception of EMIPs. So should this still be "in ICU" or should it now be "on ICU service"? Ttenbergen 13:31, 2020 November 25 (CST) |
We use different instructions for Medicine: ALERT Scale timing of assessment - can and should those be unified? Ttenbergen 13:34, 2020 November 25 (CST) |
The Worst value could be high or low, depending which gives the most points. Keep in mind the diagnosis and try not to include iatrogenically modified values, e.g. BP severely high due to inotropes or decreased LOC due to sedation.
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