APACHE II score

Intensive care and infectious diseases

Also known as: APACHE-II-Score · APACHE II skoru · APACHE II score (Acute Physiology and Chronic Health Evaluation II)

What it is for

APACHE II (Acute Physiology and Chronic Health Evaluation II) is a severity-of-illness score for adult intensive care unit (ICU) patients. Outline only; the point tables are in the original paper.

Classification

CategoryDescription
Acute physiologypoints for 12 routine measurements: temperature, mean arterial pressure, heart rate, respiratory rate, oxygenation, arterial pH, serum sodium, serum potassium, serum creatinine, haematocrit, white cell count and the Glasgow Coma Scale.
Agepoints by age band.
Chronic healthpoints for a history of severe organ insufficiency or immunocompromise, weighted by admission type (non-operative, emergency or elective postoperative).
Timingvalues from the first 24 hours in the ICU; the most abnormal value of each measurement is usually taken.
Range0-71 points; a higher score means more severe illness.

Source

APACHE II: a severity of disease classification system

Crit Care Med 1985;13:818-829 (Knaus WA, Draper EA, Wagner DP, Zimmerman JE)

PMID: 3928249

Edition
Knaus et al. 1985 (APACHE II)
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