Severity evaluation of ventilated patients at a respiratory intensive care unit with the APACHE II system.

Authors

  • G Brum Serviço de Pneumologia, Hospital de Santa Maria, Faculdade de Medicina de Lisboa.
  • E Teixeira
  • C Barroso
  • F Monteiro
  • S Alves
  • V Magalhães
  • M Bastardo
  • A Couto
  • M F Freitas e Costa

DOI:

https://doi.org/10.20344/amp.3199

Abstract

APACHE II system, is a simple and inexpensive method to evaluate severity of Intensive Care Patients. In a 2 years period (between 1988 and 1990), grading severity using APACHE II system, was performed on 498 consecutive mechanical Ventilated Patients in a Respiratory Intensive Care Unit. APACHE II was higher in COPD patients, but patients with Pneumonia and Organophosphate Poisoning had higher mortality. Correlating the different components of APACHE II with the results, we verified that Prognosis was not influenced by the Previous Health Status. Mortality was higher with increasing age, in patients with COPD and Organophosphate Poisoning. APS was the most important index for prognosis. Patients with Pneumonia and Organophosphate Poisoning had the highest APS. The Authors conclude that APACHE II is an objective and not time consuming method to evaluate severity in ICU Patients. However indexes measured on the first 24 hours of ICU staying are a result of severity of illness, treatment performed and time elapsed before ICU admission, and, this may be a possible source of bias when comparing different Unit results.

Downloads

Download data is not yet available.

How to Cite

1.
Brum G, Teixeira E, Barroso C, Monteiro F, Alves S, Magalhães V, Bastardo M, Couto A, Freitas e Costa MF. Severity evaluation of ventilated patients at a respiratory intensive care unit with the APACHE II system. Acta Med Port [Internet]. 1992 Feb. 27 [cited 2022 Dec. 7];5(2):75-8. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3199

Issue

Section

Arquivo Histórico