Evaluation of the initial APACHE II score in the Emergency Intensive Care Unit

Authors

Keywords:

APACHE II, EMERGENCIES, MORTALITY

Abstract

Introduction: the use of prognostic mortality scores is a very useful tool in intensive care units, allowing a better approach to medical care.

Objective: to determine the usefulness of APACHE II in the Emergency Intensive Care Units at Celia Sanchez Manduley General Hospital.

Methods: an observational, analytical and cross-sectional study was carried out in the period from April to June 2018 with 68 patients. To identify the statistically significant differences between the categories of some of the variables studied, the Chi-square statistic was used, with p <0.05 being considered significant. To calculate the discrimination, the area under the curve with 95% confidence intervals was analyzed, and the calibration was also examined through the standardized mortality ratio.

Results: cerebrovascular diseases prevailed (27.9 %), 35 patients (51.4%) reached the APACHE II ≥15 scores, intermediate care unit was the destination service that admitted the most patients (39.7%). Eighteen (18) patients died, of them 14 were admitted having APACHE II ≥15 scores (77.7 %, p=0.009). The mortality rate observed was 18, the standardized ratio of mortality reached 1.04, and the area under the curve was 0.679 p=0.025 (IC: 0.538-0.820).

Conclusions: APACHE II can be a useful tool in intensive care units, allowing a better approach to medical care.

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References

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Published

2020-06-05

How to Cite

1.
Martínez Llópiz YI, de la Torre Reyes A. Evaluation of the initial APACHE II score in the Emergency Intensive Care Unit. Rev Ciencias Médicas [Internet]. 2020 Jun. 5 [cited 2025 Aug. 20];24(3):e4418. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/4418

Issue

Vol. 24 No. 3 (2020)

Section

ORIGINAL ARTICLES

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