PMID: 8614028Apr 1, 1996Paper

Utility of illness severity scoring for prediction of prolonged surgical critical care

The Journal of Trauma
P S BarieE Fischer

Abstract

To determine whether APACHE III and multiple organ dysfunction syndrome scores can predict a prolonged length of stay for critically ill surgical patients in the intensive care unit. Prospective, inception-cohort study. Surgical intensive care unit (SICU) of an urban, tertiary care hospital. 2,295 consecutive admissions for critical surgical illness, postoperative complications, or postoperative monitoring in 2,058 patients. Calculation of Acute Physiology and Chronic Health Evaluation (APACHE) II and APACHE III scores 24 hours after admission to the SICU. Serial quantitation of organ dysfunction for the duration of hospitalization according to the multiple organ dysfunction score. Patients were stratified by survival and time intervals for the duration of critical care, and followed until discharge or death. Hospital mortality and length of stay in the SICU. The mean APACHE II and APACHE III scores were 14.0 +/- 0.2 and 45.2 +/- 0.6 points, respectively (mean +/- SEM). The incidence of organ dysfunction was 43%, and the hospital mortality was 9.7%. The mean ICU length of stay was 6.1 +/- 0.2 days, but decreased progressively from 6.8 +/- 0.5 days in 1991 to 5.3 +/- 0.6 days in 1995 (p < 0.01) with no change in either illness s...Continue Reading

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Citations

Sep 1, 1996·Journal of Clinical Pharmacology·J W Blue, W A Colburn
May 1, 1997·Journal of Clinical Pharmacology·W A Colburn
Feb 28, 2007·Health Care Management Science·Steven J Littig, Mark W Isken
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