Acta clinica Croatica, Vol. 58. No. 1., 2019.
Izvorni znanstveni članak
https://doi.org/10.20471/acc.2019.58.01.07
Acute Physiology and Chronic Health Evaluation (APACHE) II Score – the Clinical Predictor in Neurosurgical Intensive Care Unit
Phuping Akavipat
; Anesthesiology Department, Prasat Neurological Institute, Bangkok, Thailand
Jadsada Thinkhamrop
; Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Bandit Thinkhamrop
; Department of Biostatistics and Demography, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand
Wimonrat Sriraj
; Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Sažetak
The APACHE II scoring system is approved for its benchmarking and mortality predictions, but there are only a few articles published to demonstrate it in neurosurgical patients. Therefore, this study was performed to acknowledge this score and its predictive performance to hospital mortality in a tertiary referral neurosurgical intensive care unit (ICU). All patients admitted to the Neurosurgical ICU from February 1 to July 31, 2011 were recruited. The parameters indicated in APACHE II score were collected. The adjusted predicted risk of death was calculated and compared with the death rate observed. Descriptive statistics including the receiver operating characteristic curve (ROC) was performed. The results showed that 276 patients were admitted during the mentioned period. The APACHE II score was 16.56 (95% CI, 15.84-17.29) and 19.08 (95% CI, 15.40- 22.76) in survivors and non-survivors, while the adjusted predicted death rates were 13.39% (95% CI, 11.83-14.95) and 17.49% (95% CI, 9.81-25.17), respectively. The observed mortality was only 4.35%. The area under the ROC of APACHE II score to the hospital mortality was 0.62 (95% CI, 0.44-0.79). In conclusion, not only the APACHE II score in neurosurgical patients indicated low severity, but its performance to predict hospital mortality was also inferior. Additional studies of predicting mortality among these critical patients should be undertaken.
Ključne riječi
APACHE; Hospital mortality; Length of stay; Severity of illness index; Intensive care units
Hrčak ID:
220550
URI
Datum izdavanja:
1.3.2019.
Posjeta: 3.451 *