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2015, Number 3

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Rev Cub Med Int Emerg 2015; 14 (3)

Prognoses of mortality in critical patients by APACHE II score

Hernández RA, Delgado FRI, Castillo CJJ, Monteagudo AJ, Vinent LJA, Monteagudo AAR

Language: Spanish
References: 19
Page: 51-60
PDF size: 324.48 Kb.


ABSTRACT

Introduction: In the Intensive Care Unit (ICU) of Joaquin Albarrán Hospital was implemented the use of the APACHE II scale, (Acute Physiology and Chronic Health Status) because of its easy use and certainty of its results.
Objective: To describe the mortality in the intensive care unit of "Joaquin Albarrán" during the 2012 year.
Methods: Retrospective, observational study during the 2012 year. The study Universe was 678 admitted patients at the ICU and the sample was 639 patients evaluated by means of the APACHE II scale during the first 24 hours of their admission. They were used percentages, arithmetical halves and the χ2 with a level of significance of p‹0, 05.
Results: Mortality was of 23,9 %. There was a predominance of admission of the age group of 70 to 79 years (25%). There was a predominance of dead patients with clinical profile (17, 7) over the surgical profile (6,6 %) although there were not found significant differences (p≥0,005). In the group of 5 to 9 points of the clinical profile, there was 36,6 % of mortality higher than the predicted one, the same as in the group with 10 to 14 points ( 13,1% observed vs. 8% predicted). In surgical profile patients, there was an adequate correlation (p≤0,005).
Conclusions: The admitted patients with clinical profile of the age group of 70 to 79 years have more probability of dying. The applied APACHE II within the first 24 hours was of great utility for predicting the probability of death.


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