Selection and timing of APACHE components: Difference between revisions
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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]]. | 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]]. | ||
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* [[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? [[User:Ttenbergen|Ttenbergen]] 14:26, 2020 December 23 (CST) | * [[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? [[User:Ttenbergen|Ttenbergen]] 14:26, 2020 December 23 (CST) | ||
** Discussed with Allan: No, this has to remain different for ALERT and APACHE because the two are different; I need to integrate this better. And make a category or something for counterintuitive differences between Med and CC. [[User:Ttenbergen|Ttenbergen]] 13:32, 2021 February 22 (CST) | |||
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Revision as of 14:32, 2021 February 22
This page explains how to select physiological or GCS values for entry into the fields used for APACHE physiological variable collection in CCMDB.accdb.
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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.
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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
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