ABSTRACT:
Background: Acute Physiological and Chronic Health Evaluation (APACHE) is a severity scoring system developed in 1985. This is most widely used in intensive care unit to predict mortality rate and length of stay of high risk patients. There are four types of APACHE, and each type is different from other on the basis of variable. This is applicable for adult patients and must be done in the first 24 hours of ICU admission
Objective: The objective of the study was to implement a methodological approach “Acute Physiological and Chronic Health Evaluation II (APACHE-II) for the classification of critically ill patients on the bases of severity.
Purpose: The purpose of this project was to predict mortality rate and length of patient stay in Intensive Care Unit (ICU).
Study design: A retrospective study design was used.
Setting:ShaukatKhanum Memorial Cancer Hospital Lahore Pakistan.
Period: May 2019 to May 2020.
Methodology: Medical record of 30 adult patients was reviewed following convenient sampling after the approval of the proposal. The record of both male and female patients were studied while, no record of paediatric or adult patients outside the ICU were studied. The severity score of each patient was obtained by using patient’s parameters with help of APACHE-II table.
Result: Among the patient three out of 30 sored 25, 29 and 30 on APACHE-II. These patients later passed away in ICU. This indicates that mortality rate increases with increase in APACHE-II score. Thus the scoring system is very beneficial to predict the mortality rate of adult patients in ICU.
Limitation: The tool is not applicable to paediatric patients and for those patients who are admitted in other wards then ICU.
Keywords: APACHE, Critically ill patients, Adult patient, Mortality rate, Intensive Care Unit,
© 2024 All rights reserved