Selection and timing of APACHE components: Difference between revisions
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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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== Instructions == | == Instructions == | ||
Choose the worst value that occurs within the 24 hours after [[Accept DtTm]]. | Choose the '''''worst''''' value that occurs '''within the 24 hours after [[Accept DtTm]]'''. | ||
The '''''worst''''' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]]. | |||
{{Discuss | | {{Discuss | | ||
* Does | *Does ICU start there APACHE and TISS from the ER accept time or ICU admit time. Currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours. [[User:Gthomson2|Gthomson2]] 10:43, 2020 October 20 (CDT) | ||
*****Since Oct.15th, I have been using the 24 hour period after the accept time, which means that I am including the applicable Vitals from ER if the patient was from the ER. I wasn't at the task meeting yesterday, so I don't know if this was discussed, but this was my understanding of how we are supposed to collect apache[[User:Mlagadi|Mlagadi]] 11:02, 2020 October 23 (CDT) | |||
*** Gail, where does this 2 hour delay rule come from? Is there anything on wiki about it? [[User:Ttenbergen|Ttenbergen]] 14:49, 2020 December 23 (CST)}} | |||
*****Since Oct.15th, I have been using the 24 hour period after the accept time, which means that I am including the applicable Vitals from ER if the patient was from the ER. I wasn't at the task meeting yesterday, so I don't know if this was discussed, but this was my understanding of how we are supposed to collect apache[[User:Mlagadi|Mlagadi]] 11:02, 2020 October 23 (CDT)}} | |||
== Iatrogenically changed values == | |||
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. | |||
However, if a value is assessed as part of testing whether an intervention works, that value is not necessarily ineligible (e.g. see [[Arterial_blood_gas_(APACHE)#ABGs_as_part_of_apnea_tests]]). | |||
== Log == | |||
2020-?? (possibly Oct 15) | |||
* used to start at [[Arrive DtTm]], now starts at [[Accept DtTm]] | |||
== Related articles == | == Related articles == |
Revision as of 15:49, 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
|
Instructions
Choose the worst value that occurs within the 24 hours after Accept DtTm.
The worst value could be high or low, depending which gives the most points.
|
Iatrogenically changed values
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.
However, if a value is assessed as part of testing whether an intervention works, that value is not necessarily ineligible (e.g. see Arterial_blood_gas_(APACHE)#ABGs_as_part_of_apnea_tests).
Log
2020-?? (possibly Oct 15)
- used to start at Arrive DtTm, now starts at Accept DtTm
Related articles
Related articles: |