What does the apache II score mean?
apache II score refers to the acute physiology and chronic health evaluation scoring system - APACHE II (acute physiology and chronic health evaluation scoring system) is currently the most widely used and authoritative critical care system in clinical intensive care units. Disease condition evaluation system.
It can objectively formulate and revise medical care plans by evaluating the condition and predicting the mortality rate of patients admitted to the ICU, in order to improve the quality of medical care, rationally utilize medical resources, and determine the best time to discharge or choose treatment. Time provides an objective and scientific basis. It can be used to compare patients with a single disease or mixed diseases. The APACH II score is also applicable to critically ill patients in general wards.
The APACHE II scoring system can be used as an indicator to evaluate the condition and prognosis of ICU patients. The APACHE II scoring system is composed of three parts: acute physiology score (APS), age score, and chronic health status score. The final score is the sum of the three. The theoretical maximum score is 71 points, and the higher the score, the more serious the condition.
The APS includes 12 physiological parameters and proposes a formula for calculating the risk of death (R). The R value of each patient is added and divided by the total number of patients to obtain the expected fatality rate of this group of patients. The formula of patient risk of death (R): In(R/1R) =3.517 (APACHE score × 0.146) 0.603 (limited to patients after emergency surgery) The score of the main disease of the patient admitted to the ICU.
Add the R value of each patient and divide it by the total number of patients to calculate the expected fatality rate of the group of patients. Determining whether a disease severity classification system is effective depends on its ability to accurately predict patient mortality.
Whether the initial APS after the patient enters the ICU is more meaningful, or the worst APS within the first 24 hours is more valuable, needs further research. Since the advent of the APACHII scoring system, it has been widely recognized by the medical community for its simplicity and reliability. It has now become a commonly used scoring system in ICUs worldwide. Although it developed relatively late in our country, this system has been introduced and started to be used in ICUs of tertiary hospitals.
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