Selection and timing of APACHE components

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

Collection 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).

Timing of ALERT vs APACHE

Selection and timing of APACHE components and ALERT Scale timing of assessment use similar but different criteria. They can't be unified because one uses values based on being closest to acceptance, and the other based on being worst.

Log

• 2020-10-15 - used to start at Arrive DtTm, now starts at Accept DtTm; it is possible that there used to be a rule "currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours" but it no longer applies.