Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality

K.M. Ho; K.Y. Lee; T. Williams; J. Finn; M.W. Knuiman; S.A.R. Webb

doi:10.1111/j.1365-2044.2007.04999.x

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Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality

Journal article

Peer reviewed

Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality

K.M. Ho, K.Y. Lee, T. Williams, J. Finn, M.W. Knuiman and S.A.R. Webb

Anaesthesia, Vol.62(5), pp.466-473

2007

DOI: https://doi.org/10.1111/j.1365-2044.2007.04999.x

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Abstract

This study compared the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II score with two organ failure scores in predicting hospital mortality of critically ill patients. A total of 1311 consecutive adult patients in a tertiary 22-bed multidisciplinary intensive care unit (ICU) in Western Australia were considered. The APACHE II score had a better calibration and discrimination than the Max Sequential Organ Failure Score (Max SOFA) (area under receiver operating characteristic (ROC) curve 0.858 vs 0.829), Admission SOFA (area under ROC 0.858 vs 0.791), and the first day or cumulative 5-day Royal Perth Hospital Intensive Care Unit (RPHICU) organ failure score (area under ROC 0.858 vs 0.822 and 0.819, respectively) in predicting hospital mortality. The APACHE II score predicted hospital mortality of critically ill patients better than the SOFA and RPHICU organ failure scores in our ICU.

Details

Title: Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality
Authors/Creators: K.M. Ho (Author/Creator) - Royal Perth Hospital
K.Y. Lee (Author/Creator) - Royal Perth Hospital
T. Williams (Author/Creator) - Research Associate
J. Finn (Author/Creator) - Professor, School of Population Health
M.W. Knuiman (Author/Creator) - Professor, School of Population Health
S.A.R. Webb (Author/Creator) - Royal Perth Hospital
Publication Details: Anaesthesia, Vol.62(5), pp.466-473
Publisher: wiley
Identifiers: 991005542459707891
Copyright: © 2007 The Authors Journal compilation
Murdoch Affiliation: Murdoch University
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.154 Assisted Ventilation; 1.154.1088 Intensive Care
Web Of Science research areas: Anesthesiology
ESI research areas: Clinical Medicine