Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality
Summary This study compared the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II score with two organ failure scores in predicting hospital mortality of critically ill patients. A total of 1311 consecutive adult patients in a tertiary 22‐bed multidisciplinary intensive c...
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| Veröffentlicht in: | Anaesthesia 2007-05, Vol.62 (5), p.466-473 |
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| container_title | Anaesthesia |
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| creator | Ho, K. M. Lee, K. Y. Williams, T. Finn, J. Knuiman, M. Webb, S. A. R. |
| description | Summary
This study compared the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II score with two organ failure scores in predicting hospital mortality of critically ill patients. A total of 1311 consecutive adult patients in a tertiary 22‐bed multidisciplinary intensive care unit (ICU) in Western Australia were considered. The APACHE II score had a better calibration and discrimination than the Max Sequential Organ Failure Score (Max SOFA) (area under receiver operating characteristic (ROC) curve 0.858 vs 0.829), Admission SOFA (area under ROC 0.858 vs 0.791), and the first day or cumulative 5‐day Royal Perth Hospital Intensive Care Unit (RPHICU) organ failure score (area under ROC 0.858 vs 0.822 and 0.819, respectively) in predicting hospital mortality. The APACHE II score predicted hospital mortality of critically ill patients better than the SOFA and RPHICU organ failure scores in our ICU. |
| doi_str_mv | 10.1111/j.1365-2044.2007.04999.x |
| format | Article |
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This study compared the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II score with two organ failure scores in predicting hospital mortality of critically ill patients. A total of 1311 consecutive adult patients in a tertiary 22‐bed multidisciplinary intensive care unit (ICU) in Western Australia were considered. The APACHE II score had a better calibration and discrimination than the Max Sequential Organ Failure Score (Max SOFA) (area under receiver operating characteristic (ROC) curve 0.858 vs 0.829), Admission SOFA (area under ROC 0.858 vs 0.791), and the first day or cumulative 5‐day Royal Perth Hospital Intensive Care Unit (RPHICU) organ failure score (area under ROC 0.858 vs 0.822 and 0.819, respectively) in predicting hospital mortality. The APACHE II score predicted hospital mortality of critically ill patients better than the SOFA and RPHICU organ failure scores in our ICU.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/j.1365-2044.2007.04999.x</identifier><identifier>PMID: 17448058</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Anatomy & physiology ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; APACHE ; Biological and medical sciences ; Calibration ; Comparative analysis ; Critical Illness - mortality ; Female ; Hospital Mortality ; Humans ; Intensive care ; Intensive Care Units ; Male ; Medical sciences ; Middle Aged ; Mortality ; Multiple Organ Failure - diagnosis ; Multiple Organ Failure - mortality ; Predictions ; Prognosis ; ROC Curve ; Severity of Illness Index ; Standard scores ; Western Australia - epidemiology</subject><ispartof>Anaesthesia, 2007-05, Vol.62 (5), p.466-473</ispartof><rights>2007 INIST-CNRS</rights><rights>2007 The Authors Journal compilation 2007 The Association of Anaesthetists of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4759-9b776d09c1574e2c5d1974065bb67494cc0b5442021f803b122a1357f9e5132e3</citedby><cites>FETCH-LOGICAL-c4759-9b776d09c1574e2c5d1974065bb67494cc0b5442021f803b122a1357f9e5132e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2044.2007.04999.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2044.2007.04999.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18679494$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17448058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ho, K. M.</creatorcontrib><creatorcontrib>Lee, K. Y.</creatorcontrib><creatorcontrib>Williams, T.</creatorcontrib><creatorcontrib>Finn, J.</creatorcontrib><creatorcontrib>Knuiman, M.</creatorcontrib><creatorcontrib>Webb, S. A. R.</creatorcontrib><title>Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
This study compared the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II score with two organ failure scores in predicting hospital mortality of critically ill patients. A total of 1311 consecutive adult patients in a tertiary 22‐bed multidisciplinary intensive care unit (ICU) in Western Australia were considered. The APACHE II score had a better calibration and discrimination than the Max Sequential Organ Failure Score (Max SOFA) (area under receiver operating characteristic (ROC) curve 0.858 vs 0.829), Admission SOFA (area under ROC 0.858 vs 0.791), and the first day or cumulative 5‐day Royal Perth Hospital Intensive Care Unit (RPHICU) organ failure score (area under ROC 0.858 vs 0.822 and 0.819, respectively) in predicting hospital mortality. The APACHE II score predicted hospital mortality of critically ill patients better than the SOFA and RPHICU organ failure scores in our ICU.</description><subject>Adult</subject><subject>Aged</subject><subject>Anatomy & physiology</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>APACHE</subject><subject>Biological and medical sciences</subject><subject>Calibration</subject><subject>Comparative analysis</subject><subject>Critical Illness - mortality</subject><subject>Female</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multiple Organ Failure - diagnosis</subject><subject>Multiple Organ Failure - mortality</subject><subject>Predictions</subject><subject>Prognosis</subject><subject>ROC Curve</subject><subject>Severity of Illness Index</subject><subject>Standard scores</subject><subject>Western Australia - epidemiology</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUGP1CAUgInRuOPqXzDERKOHVqC0lItJ08w6k2x0D3omlNIdJrRUaN3tH_B3L92ZuIknuTzC-97jwQcAxCjFcX0-pjgr8oQgSlOCEEsR5Zyn98_A5m_iOdgghLKEUMQvwKsQjghhUuLyJbjAjNIS5eUG_KldP0pvghug62Cl5knDm8MSjLPudoFyaGF98G4wCu60tNMBbn9LO8vJxIqP1U1V77af4H4Pg3JewzsTCedv5QA7aewcjx4TAU4Ojl63Rk3w4MJoJmlh73wMZlpegxedtEG_OcdL8PNq-6PeJdffv-7r6jpRlOU84Q1jRYu4wjmjmqi8xZxRVORNUzDKqVKoySkliOCuRFmDCZE4y1nHdY4zorNL8OHUd_Tu16zDJHoTlLZWDtrNQTBE4_9SHsF3_4BHN_shzibilVlBESkiVJ4g5V0IXndi9KaXfhEYiVWUOIrVh1h9iFWUeBQl7mPp23P_uel1-1R4NhOB92dABiVt5-WgTHjiyoLx-OLIfTlxd8bq5b8HENW3artuswfFw61x</recordid><startdate>200705</startdate><enddate>200705</enddate><creator>Ho, K. M.</creator><creator>Lee, K. Y.</creator><creator>Williams, T.</creator><creator>Finn, J.</creator><creator>Knuiman, M.</creator><creator>Webb, S. A. R.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200705</creationdate><title>Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality</title><author>Ho, K. M. ; Lee, K. Y. ; Williams, T. ; Finn, J. ; Knuiman, M. ; Webb, S. A. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4759-9b776d09c1574e2c5d1974065bb67494cc0b5442021f803b122a1357f9e5132e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anatomy & physiology</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>APACHE</topic><topic>Biological and medical sciences</topic><topic>Calibration</topic><topic>Comparative analysis</topic><topic>Critical Illness - mortality</topic><topic>Female</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multiple Organ Failure - diagnosis</topic><topic>Multiple Organ Failure - mortality</topic><topic>Predictions</topic><topic>Prognosis</topic><topic>ROC Curve</topic><topic>Severity of Illness Index</topic><topic>Standard scores</topic><topic>Western Australia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ho, K. M.</creatorcontrib><creatorcontrib>Lee, K. Y.</creatorcontrib><creatorcontrib>Williams, T.</creatorcontrib><creatorcontrib>Finn, J.</creatorcontrib><creatorcontrib>Knuiman, M.</creatorcontrib><creatorcontrib>Webb, S. A. R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ho, K. M.</au><au>Lee, K. Y.</au><au>Williams, T.</au><au>Finn, J.</au><au>Knuiman, M.</au><au>Webb, S. A. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2007-05</date><risdate>2007</risdate><volume>62</volume><issue>5</issue><spage>466</spage><epage>473</epage><pages>466-473</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>Summary
This study compared the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II score with two organ failure scores in predicting hospital mortality of critically ill patients. A total of 1311 consecutive adult patients in a tertiary 22‐bed multidisciplinary intensive care unit (ICU) in Western Australia were considered. The APACHE II score had a better calibration and discrimination than the Max Sequential Organ Failure Score (Max SOFA) (area under receiver operating characteristic (ROC) curve 0.858 vs 0.829), Admission SOFA (area under ROC 0.858 vs 0.791), and the first day or cumulative 5‐day Royal Perth Hospital Intensive Care Unit (RPHICU) organ failure score (area under ROC 0.858 vs 0.822 and 0.819, respectively) in predicting hospital mortality. The APACHE II score predicted hospital mortality of critically ill patients better than the SOFA and RPHICU organ failure scores in our ICU.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17448058</pmid><doi>10.1111/j.1365-2044.2007.04999.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Anatomy & physiology Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy APACHE Biological and medical sciences Calibration Comparative analysis Critical Illness - mortality Female Hospital Mortality Humans Intensive care Intensive Care Units Male Medical sciences Middle Aged Mortality Multiple Organ Failure - diagnosis Multiple Organ Failure - mortality Predictions Prognosis ROC Curve Severity of Illness Index Standard scores Western Australia - epidemiology |
| title | Comparison of Acute Physiology and Chronic Health Evaluation (APACHE) II score with organ failure scores to predict hospital mortality |
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