APACHE-II - A SEVERITY OF DISEASE CLASSIFICATION-SYSTEM
APACHE-II - A SEVERITY OF DISEASE CLASSIFICATION-SYSTEM
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DOI：
10.1097/00003246-198510000-00009
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发表时间：
1985-01-01
影响因子：
8.8
通讯作者：
ZIMMERMAN, JE
中科院分区：
文献类型：
--
作者：
KNAUS, WA;DRAPER, EA;ZIMMERMAN, JE
本文介绍了APACHE II的形式和验证结果，疾病的严重程度分类系统。APACHE II使用基于12项常规生理测量、年龄和既往健康状况的初始值的评分，以提供疾病严重程度的一般测量。从13家医院的5815名重症监护住院患者中，增加评分（范围0 - 71）与随后的医院死亡风险密切相关。这种关系在许多常见疾病中也被发现。当APACHE II评分与疾病的准确描述相结合时，它们可以对急性病患者进行分类分层，并帮助研究人员比较新的或不同形式的治疗的成功。该评分指标可用于评价医院资源的利用情况，比较不同医院或不同时间重症监护的效果。
This paper presents the form and validation results of APACHE II, a severity of disease classification system. APACHE II uses a point score based upon initial values of 12 routine physiologic measurements, age, and previous health status to provide a general measure of severity of disease. An increasing score (range 0 to 71) was closely correlated with the subsequent risk of hospital death for 5815 intensive care admissions from 13 hospitals. This relationship was also found for many common diseases. When APACHE II scores are combined with an accurate description of disease, they can prognostically stratify acutely ill patients and assist investigators comparing the success of new or differing forms of therapy. This scoring index can be used to evaluate the use of hospital resources and compare the efficacy of intensive care in different hospitals or over time.