HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Mortality rate of ICU patients according to APACHE II and SAPS II score

PDF
Published: Dec 7, 2018
DOI: https://doi.org/10.12681/healthresj.19297
Keywords:
Intensive Care Unit APACHE II SAPS II mortality
Ariadni Kostoglou
RN, MSc, ICU, General Hospital of Piraeus ”Tzanio”, Greece
Anastasia Kotanidou
Professor of Intensive Care Medicine, Medical School, National and Kapodistrian School of Athens, Greece
Christina Marvaki
Emeritus Professor, Nursing Department, University of West Attica, Greece
Stylianos Orfanos
Professor, Medical School of Athens, National and Kapodistrian University of Athens, Greece
Abstract

Introduction:  Two of the most important systems measuring the severity of disease classification in Intensive Care Unit (ICU) are APACHE II and SAPS II. The scores that the two systems generate can be the cause of increased mortality.

Aim: of subject study is to record mortality of 28 days in ICU of a Hospital located in Piraeus and to investigate its dependence on the variables APACHE II and SAPS II.

Material and Methods: Population of the study consisted of 200 patients, older than 18 years, admitted to ICU. The application of normal distribution for continuous variables has been evaluated based on Kolmogorov-Smirnov parametric analysis.

Results: 62, 5% of the sample were male, while 37,5% were female. The average age of patients participating in the study was 58,02 years ± 19,085, average APACHE II score 22,33 ± 8,038 and average SAPS II score 37,03 ± 16,169. 51,5% of those patients were diagnosed with pathological problems, 25,5% with surgical problems and 23% had trauma. Mortality in ICU was 32%. The area below ROC curve for the prediction of mortality from APACHE II score was 0.748 (95% confidence interval: 0.684-0.808, p<0.001).

Conclusions : From the regression ran  based on multiple confounding variables (age, gender, diagnosis, APACHE II and SAPS II scores) we conclude that mortality of 28 days in a polyvalent ICU is affected only by APACHE II score, which predicted independently (p= 0.036) the mortality of the patients of the present study.

Article Details
  • Section
  • Original Articles

Copyright notice:

The journal "Health and Research Journal" reserves the rights for copyright of the content of the website and also the copyright of the articles published.

By virtue of their appearance in this journal, the articles are free to be used for non-commercial purposes. However, the articles cannot and must not be used in anyway, published elsewhere or modified without any reference to the author and the first publication of the article.

Downloads
Download data is not yet available.
References
Wong DT, Knaus WA. Predicting outcome in critical care: the current status of the APACHE prognostic scoring system. Can J Anaesth 1991,38:374-83.
Knaus WA,Draper EA, Wagner DP, Zimmerman JE.APACHE II a severity of disease classification system .Crit Care Med 1985,13 :818-29
Tasdale G, Jenneft B : Assessment of coma and impaired consciousness . A practical scale. Lancet 1974, 2: 81
Draper EA., Wagne DP , Knaus WA,: The use of investive care : a comparison of a university and community hospital. Health Care Financing Rev 1981, 3: 49-64
L. Donahoe, E. McDonald, M. E. Kho, M. Maclennan, P. W. Stratford, and D. J. Cook. Increasing reliability of APACHE II scores in a medical-surgical intensive care unit: a quality improvement study.American Journal of Critical Care 2009,13: 58–64
Domíng L, Enríquez P, Alvarez P, Sagredo V, López-Messa J, Carriedo D, et al. Evaluation of the reproducibility of the data collection for the APACHE II, APACHE III adapted for Spain and the SAPS II in nine intensive care units in Spain. Med Intensiva 2008; 32(1):15-22
Fadaizadeh L, Tamadon R, Saeedfar K, Jamaati HR . Performance assessment of Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II in a referral respiratory intensive care unit in Iran.Αvailable at http://www. Epub (acceded on 23.06.2012).
Ana D ,Sladjana V , Aleksandar P, Olivera M. Scoring Systems in Assessing Survival of Critically Ill ICU Patients. Med Sci Monit. 2015; 21: 2621–2629.
Gilani MT, Razavi M, Azad A. A comparison of Simplified Acute Physiology Score II, Acute Physiology and Chronic Health Evaluation II and Acute Physiology and Chronic Health Evaluation III scoring system in predicting mortality and length of stay at surgical intensive care unit. Niger Med J. 2014; 55(2):144-7.
Mohammad O, Mohammad R, Tanjima B, Areef F, Fatema A, Rezaul K. A Comparison of Severity Systems APACHE II and SAPS II in Critically ill Patients.
Dieplinger B, Egger M, Koehler W, Firlinger F, Poelz W, Lenz K, et al. Prognostic value of soluble ST2 in an unselected cohort of patients admitted to an intensive care unit - The Linz Intensive Care Unit (LICU) study. Clin Chim Acta. 2012 ; 413(5-6):587-93.
Doerr F, Badreldin A , Heldwein MB, Bossert T, Richter M, Lehmann T, et al. A comparative study of four intensive care outcome prediction models in cardiac surgery patients. Cardiothorac Surg. 2011 ; 6:21.
Khwannimit B, Geater A. A comparison of APACHE II and SAPS II scoring systems in predicting hospital mortality in Thai adult intensive care units. Med Assoc Thai. 2007 ; 90(4):643-52
Sekulic A, Marinkovic O, MalenkovicV, Trpkovic S, Pavlovic A. Application of APACHE II, SAPS II, SOFA and MODS scores in predicting outcome of severe acute pancreatitis (SAP): 12AP5‐9. European Journal of Anaesthesiology
Katsaragakis S, Papadimitropoulos K, Antonakis P, Strergiopoulos S, Konstadoulakis M, Androulakis G. Comparison of Acute Physiology and Chronic Health Evaluation II (APACHE II) and Simplified Acute Physiology Score II (SAPS II) scoring systems in a single Greek intensive care unit. Crit Care Med. 2000 28(2):426-32.
Γκολφινοπούλου Κ, Δαφνή Ο, Κουβατσέας Γ, Καραγιάννης Γ, Παπαδήμα Κ. Σύγκριση δεικτών βαρύτητας νόσου σε μονάδα εντατικής θεραπείας. Νοσηλευτική 2006;45(1):78-91.
Abdelbaset S, Magda A, Intessar S, Ahmed A. Comparison of the mortality prediction of different ICU scoring systems (APACHE II and III, SAPS II, and SOFA) in a single-center ICU subpopulation with acute respiratory distress syndrome
Freire P, Romãozinho J, Amaro P, Ferreira M ,Sofia S. Prognostic Scores in a Gastroenterology Intensive Care Unit. REV ESP ENFERM DIG (Madrid) 2010 ;102 :596-601
Χονδρογιάννης Κ,Κιτσάκος Α, Δούλης Α, Νάκος Γ. Surviving Sepsis Campaign. Ανασκόπηση άρθρου :Society of Critical Care medicine.
Harrison D , Parry G, Carpenter J, Short A, Rowan K. A new risk prediction model for critical care: The Intensive Care National Audit & Research Centre (ICNARC) model. Crit Care Med 2007, 35:1091−1098
De Lange Dw, Dusseljee J, Brinkman S, Van Berkel G, Van Maanen R, Bosman Rj et all. Severity of illness and outcome in ICU patients in the Netherlands: Results from the NICE registry 2006−2007. Neth J Crit Care 2009, 13:16−22
Vasilevskis E, Kuzniewicz M, Cason B, Lane R, Dean M, Clayt et all. Mortality probability model III and simplified acute physiology score II: Assessing their value in predicting length of stay and comparison to APACHE IV. Chest 2009, 136:89−101
Duke G, Santamaria J, Shann F, Stow P, Pilcher D, Ernest D et al. Critical care outcome prediction equation (COPE) for adult intensive care. Crit Care Resusc 2008, 10:41
Most read articles by the same author(s)