Key paper

Knaus WA, et al. APACHE II: a severity of disease classification system. Crit Care Med 1985; 13:818-29

P.575

Acute physiology score

+ 4

+ 3 +2

+ 1 0

+1

+2

Core temperature (°C)

>41

39-40.9

38.2-38.9 36-38.4

34

-35.9

32-33.9

3

Mean BP (mmHg)

>160

130-159 110-129

70-109

50-69

Heart rate (/min)

>180

140-179 110-139

70-109

55-69

4

Respiratoryrate (/min)

>50

35-49

25-34 12-24

10

-11

6-9

(mmHg)

>500

350-499 200-349

<200

(mmHg)

>70

61

-70

5

Arterial pH

>7.7

7.6-7.69

7.5-7.59 7.33-7.49

7.25-7.32

7

Serum Na + (mmol/l)

>180

160-179 155-159

150-154 130-149

120-129

1

Serum K+ (mmol/l)

>7

6-6.9

5.5-5.9 3.5-5.4

3-

3.4

2.5-2.9

Serum creatinine (pmol/l)NB double points score if acute renal failure

>300

171-299 121-170

50-120

<50

Haematocrit (%)

>60

50-59.9

46-49.9 30-45.9

20-29.9

Leukocytes (/mm3)

>40

20-39.9

15-19.9 3-14.9

1-2.9

Neurological points =

15 - Glasgow coma score

Years

<44

45-54

55-64

65-74

>75

Points

0

2

3

5

6

Chronic health points

2 points for elective post-operative admission or 5 points if emergency operation or non-operative admission, if patient has either:

• Biopsy proven cirrhosis, portal hypertension or previous hepatic failure

• Chronic heart failure (NYHA Grade 4),

• Chronic hypoxia, hypercapnia, severe exercise limitation, 2° polycythaemia or pulmonary hypertension

• Dialysis-dependent renal disease

• Immunosuppression by disease or drugs

P.576

0 0

Post a comment