What is Apache II score used for?

Mortality prediction scores such as APACHE II are often used to assess the baseline risk groups being compared in clinical trials. They can also be used to determine prognosis and help family members make informed decisions about the aggressiveness of care.

What is Apache II scoring system?

APACHE II score is a general measure of disease severity based on current physiologic measurements, age & previous health conditions. The score can help in the assessment of patients to determine the level & degree of diagnostic & therapeutic intervention.

What is an Apache score used for?

The Acute Physiology and Chronic Health Evaluation (APACHE) score is an illness severity score commonly used in critical care medicine to predict mortality upon admission to an intensive care unit.

What is a good Apache score?

Each variable is weighted from 0 to 4, with higher scores denoting an increasing deviation from normal. The APACHE II is measured during the first 24 h of ICU admission; the maximum score is 71. A score of 25 represents a predicted mortality of 50% and a score of over 35 represents a predicted mortality of 80%.

What does Apache stand for?

Acute Physiology and Chronic Health Evaluation
APACHE stands for Acute Physiology and Chronic Health Evaluation, and the APACHE scoring system is used to describe severity of illness of patients admitted to the intensive care unit.

When is Apache scoring done?

It is applied within 24 hours of admission of a patient to an intensive care unit (ICU): an integer score from 0 to 71 is computed based on several measurements; higher scores correspond to more severe disease and a higher risk of death.

What is the SOFA scoring system?

The Sequential Organ Failure Assessment (SOFA) score is a simple and objective score that allows for calculation of both the number and the severity of organ dysfunction in six organ systems (respiratory, coagulatory, liver, cardiovascular, renal, and neurologic) (Table 1), and the score can measure individual or …

What is the survival rate for acute pancreatitis?

Acute pancreatitis is an inflammatory condition of the pancreas that is painful and at times deadly. Despite the great advances in critical care medicine over the past 20 years, the mortality rate of acute pancreatitis has remained at about 10%.

What criteria is used to assess the severity of pancreatitis?

The revised clinical criteria for the diagnosis of AP are (1) acute pain and tenderness in the upper abdomen; (2) elevated pancreatic enzyme levels in in blood and/or urine; and (3) ultrasound (US), CT or magnetic resonance imaging (MRI) abnormalities of the pancreas characteristic of AP[1].

What is normal Apache score?

The APACHE II score ranges from 0 to 71 points; however, it is rare for any patient to accumulate more than 55 points.

How is Apache score calculated?

* APACHE II score = acute physiology score + age points + chronic health points. Minimum score = 0; maximum score = 71. Increasing score is associated with increasing risk of hospital death. † Choose worst value in the past 24 hours.

What does APACHE-II mean for acute pancreatitis?

In acute pancreatitis, APACHE-II may facilitate rapid selection of patients for intensive therapy or clinical trials, improve comparison between groups of patients, and indicate that a pancreatic collection is probable. The Lancet Hospital Practice APACHE-II SCORE FOR ASSESSMENT AND MONITORING OF ACUTE PANCREATITIS Michael Larvin MichaelJ.

Which is the best scoring system for acute pancreatitis?

APACHE-II score seems to be the best scoring system, with scores >7 predicting severe acute pancreatitis. Unfortunately its performance is far from perfect, with sensitivity of 65% and specificity of 76% for severe pancreatitis (APACHE-II calculator).

Which is more accurate APACHE II or modified CTSI?

The AUC for modified CTSI was consistently the highest for predicting severe acute pancreatitis (0.919), pancreatic necrosis (0.993), organ failure (0.893) and ICU admission (0.993). APACHE II was the second most accurate in predicting severe acute pancreatitis (AUC 0.834) and organ failure (0.831).

How is acute pancreatitis classified in the Atlanta classification?

The Atlanta classification was revised via an international, web-based consensus in 2012 that provided clear definitions to classify acute pancreatitis using easily identifiable clinical and radiologic criteria. Greater emphasis was laid on organ failure and severity was graded as mild, moderately severe and severe acute pancreatitis [ 4 ].