A critical study of the APACHE II scoring system using earlier data collection. Issue 1 (March 1990)

• Record Type: Journal Article
• Authors: Waters, M; Nightingale, P; Edwards, J D
• Is Part Of: Emergency medicine journal. Volume 7:Issue 1(1990)
• Page Start: 16
• Page End: 20
• Publication Date: 1990-03
• Subjects: Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1136/emj.7.1.16
• Languages: English
• ISSNs: 1472-0205

Abstract

Abstract : The APACHE II severity of illness scoring system was prospectively studied on 756 patients admitted to a general intensive care unit (ICU) from January 1986 to June 1988. Admission data were used. Individual and group risk of death were calculated for 3 diagnostic categories commonly seen in the A&E department and requiring admission to an ICU. The APACHE II score on admission tended to underestimate the risk of death following operative and non-operative trauma, and self-poisoning. This may have been related to the use of an analysis not yet validated against values obtained on admission to ICU. Such validation is urgently needed on a UK population if APACHE II scoring is to be of value in the A&E department.