Temperature

• A physiological element collected for APACHE II

Select the worst value in the first 24 hours in ICU., i.e. the value that would generate the highest score from the APACHE II scoring table APACHE Scoring table#Chemistry_values.

Discussion

• If the temperature is artificially cooled, should we use these low temperatures? Example when on a cooling blanket or hypothermic from cooling in the OR?--LKolesar 11:58, 19 November 2008 (CST)

Artificial Cooling

Discussed in Nov 21.08_ ICU team meeting:

If a patient is actively cooled for therapeutic reasons, use the most recent temp just prior tostart of cooling.

• If no temp is available before cooling initiated, then use temp at 4 hours after cooling stopped.

• cardiac arrests may having the cooling protocol applied. See BRR for more information.

If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time.

• • the key to APACHE is not to record iatrogenically induce problem.TOstryzniuk 23:26, 4 December 2008 (CST)

• See General Collection Guidelines for Apache II#When to collect, which value to use.

Data Integrity Rules

• (>=20 And <=43.5)