Affiliation:
1. MD Associate professor, Govt.Thiruvarur Medical College, Thiruvarur.
2. DA Junior Resident , Madurai Medical College.
Abstract
Various scoring systems have been developed to predict mortality and morbidity in intensive care unit, but different data
has been reported so far. To compare the predicted mortality of APACHE II and AP Aims: ACHE IV. This Methodology :
prospective study was conducted in 12 bed ICU center in our hospital. 57 patients were taken with age group of above 15years irrespective of
diagnosis, managed in ICU for >24hrs . APACHE II and APACHE IV scores were calculated based on the worst values of the rst 24 h of
admission. All enrolled patients were followed during their ICU stay Or till death and outcome was recorded as survivors or non survivors.
Results : There were 40 survivors .In APACHE II the mean score for survivors was 16.39 ± 6.82, which was less compared to mean the score
of 22.08 ± 7.18 for non survivors. (P = 0.001).In APACHE IV the mean score for the survivors was 83.96 ± 17.93, which was less compared
with mean the score of 107.44 ± 21.53 for non survivors.(P < .001) Conclusion: Discrimination, was fair for both models, but APACHE IV was
superior to APACHE II. Calibration, was better for APACHE II than APACHE IV in our ICU. There was good correlation observed between the
models.
Reference3 articles.
1. Palazo M. Severity of illness. In: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, editors. Text Book of Critical Care. 6th ed. Albany (NY): Elsevier Publishers; 1996. pp. 17–29.
2. Bouch DC, Thompson JP. Severity score system in critically ill. Oxf J. 2008;8:181–5.
3. Becker RB, Zimmerman JE. ICU scoring systems allow prediction of patient outcomes and comparison of ICU performance. Crit Care Clin. 1996;12:503–14.