VALIDATION OF A SEVERITY OF ILLNESS SCORE (APACHE-II) IN A SURGICAL INTENSIVE-CARE UNIT
VALIDATION OF A SEVERITY OF ILLNESS SCORE (APACHE-II) IN A SURGICAL INTENSIVE-CARE UNIT
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DOI：
10.1007/bf00273563
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发表时间：
1989-01-01
影响因子：
38.9
通讯作者：
GUI, D
中科院分区：
文献类型：
--
作者：
GIANGIULIANI, G;MANCINI, A;GUI, D
重症监护室是治疗需要内科和外科护理的复杂疾病患者的重要资源。疾病的多样性和提供此类护理的医院之间的安排差异限制了重症监护评估的准确性。我们已经测量了598例连续入院的外科重症监护室（SICU）患者的入院特征和住院死亡率，在入院的第一天使用疾病严重程度分类系统（APACHE II）。87%的SICU患者的医院结局详情可用。总死亡率为21.7%，存活者和死亡者的平均APACHE评分分别为14.2和22.4，死亡风险分别为21.1%和54.1%。APACHE II评分系统提供了一个很好的分类方法，具有较高的敏感性和特异性。
The intensive care unit is an important resource for the treatment of patients needing medical and surgical care for complicated diseases. The diversity of diseases and the difference in arrangements between hospitals providing such care have limited the precision of evaluations of intensive care. We have measured the admission characteristics and hospital mortality of 598 consecutive patients admitted to our Surgical Intensive Care Unit (SICU) using a severity of disease classification system (APACHE II) on the first day of admission. Hospital outcome details were available on 87% of the SICU patients. The overall mortality was 21.7%, mean APACHE score for survivors and non-survivors was 14.2 and 22.4, and their risk of death was 21.1% and 54.1%. The APACHE II scoring system provided an excellent means of classification, with a higher sensitivity and specificity.