Selection and timing of APACHE components: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
mNo edit summary
mNo edit summary
Line 1: Line 1:
This page explains how to select [[APACHE physiological variable collection|physiological]] or [[GCS]] values for entry into the fields used for [[Apache]] in [[CCMDB.accdb]].  
This page explains how to select [[APACHE physiological variable collection|physiological]] or [[GCS]] values for entry into the fields used for [[APACHE physiological variable collection]] in [[CCMDB.accdb]].  


{{DA | APACHE
{{DA | APACHE

Revision as of 15:50, 2020 December 23

This page explains how to select physiological or GCS values for entry into the fields used for APACHE physiological variable collection in CCMDB.accdb.


APACHE

  • ALERT Scale timing of assessment uses slightly different definition, but it is closer than it used to be now that we start Apache at accept rather than arrive. Can we combine? Ttenbergen 14:26, 2020 December 23 (CST)
  • SMW


  • Cargo


  • Categories

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.

  • 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. 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 apacheMlagadi 11:02, 2020 October 23 (CDT)
      • Gail, where does this 2 hour delay rule come from? Is there anything on wiki about it? Ttenbergen 14:49, 2020 December 23 (CST)
  • SMW


  • Cargo


  • Categories

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)

Related articles

Related articles: