如何计算APACHE II Score
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APACHE II score predicts intensive care mortality based on 12 physiologic variables and chronic health. Higher scores indicate worse prognosis.
分步指南
- 1Score 12 variables: heart rate, mean BP, temperature, respiratory rate, oxygenation, pH, sodium, potassium, creatinine, hematocrit, WBC, Glasgow Coma
- 2Add age score and chronic health points
- 3Total 0-71; higher indicates mortality risk
例题解析
输入
Multiple abnormal vitals and labs in ICU patient
结果
APACHE II = 25 (moderate-high risk)
Extensive calculation
常见错误注意事项
- ✕Recalculating after initial admission (only first 24 hours counts)
- ✕Omitting any of the 12 components
常见问题
When is APACHE II useful?
Predicting ICU mortality, comparing patient cohorts, and understanding disease severity at admission.
What are limitations?
Requires many variables, doesn't predict individual outcomes well, and is computationally complex.
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