Assessment of critically unwell (ICU)

Question 1

APCHE (1) - Acute physiology and chronic health evaluation

Answer 1

Components:

1. Pre-existing disease
2. Patient reserve
3. Severity of acute illness
4. Includes 34 indiviual variables

Question 2

APCHE (2) - Acute physiology and chronic health evaluation

Answer 2

1. Reduction in the number of variables to 12
2. The score of 0-71
3. Score of 25 = mortablity of 50% and score > 35 = 80% mortality
4. Measured during the first 24 hours of ICU admission

Question 3

APCHE (3 & 4) - Acute physiology and chronic health evaluation?

**Not used **

Answer 3

1. About 26 variables
2. Mortality calculations not in the public domain
3. APACHE (4) containns 142 variables
4. All scores are taken on admission

Question 4

Simplified acute physiology score?

Answer 4

1. Obtained in the first 24 hrs of admission to ICU
2. About 14 physiological variables are assessed
3. SAPS II & III assesses 12 physiological variables in the first 24 hours of ICU admission
4. Includes weighting for pre-admission health status and age.