The Assessment of APACHE II Scoring System in Predicting the Result of Weaning from Ventilator
DOI:
https://doi.org/10.22100/jkh.v8i4.433Keywords:
APACHE II, Ventilator, Weaning, Survived, Died, Survival outcome.Abstract
Introduction: The emergence of icu scoring systems has improved the results in critical care units as regards result prediction by prompt weaning of patients from ventilators. This study conducted to evaluate the association between APACHE II scores and results of weaning (survived, died).
Methods: 300 patients who were admitted to general ICU (Bojnurd's Imam Ali hospital) and surgical ICU (Mashhad Farabi hospital) were investigated for six months. Data collected base on questionnaire and knaus APACHE II form which includes three sections: acute physiology score, age adjustment and chronic health adjustment. date collected in the first 24 hours of admission based on inclusion and exclusion criteria.
Results: There were significant statistical differences between the mean APACHE II score (in the first 24 hours of admission ) and outcomes. There were also statistically significant differences between serum creatinin levels and results (P=0.003). All of patients with APACHE II score higher than 24 died and every patient with APACHE II score lower than 10 survived. The mortality rate was 23%.
Conclusion: The results of this study showed that there is a association between the APACHE II scores of first 24 hours of admission and result of survival in that patients with higher APACHE II score had higher mortality rate rather than those with lower APACHE II score.
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