嘉義長庚紀念醫院

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APACHEⅡ重症病患疾病嚴重度評分系統

 

APCHE Ⅱ(Acute Physiology and Chronic Health Evaluation) score即急性生理和慢性健康評分,計分內容包括12項生理檢查,病患年齡、以及慢性疾病狀態,評分時以住進加護病房24小時內最差的數據為準,很多的研究均肯定APCHEⅡ準確地反應加護病房重症病人的 實際死亡率。


APACHE II Score and Mortality Prediction

Temperature (°C)

 
Mean Arterial Pressure (mmHg)

 
Heart Rate

 
Respiratory Rate

 
A-aPO2(FiO2>50%) or PaO2(FiO2<50%)

 
Arterial pH or HCO3

 
Serum Na+ (mEq/L)

 
Serum K+ (mEq/L)

 
Serum Creatinine (ARF means Acute Renal Failure)

 
Hct (%)

 
WBC Count(10^3/mm3)

 
Glasgow Coma Score

 
Age (years)

 
Chronic Organ Insufficiency: (1) Cirrhosis of the liver; (2) NYHA Class IV; (3) Severe COPD, Pulmonary hypertension(>40 mmHg), or Respiratory dependency; (4) On regular dialysis; (5) Immunocompromised

None (0 points)

Non-Surgical (5 points)

Emergent operation (5 points)

Elective operation (2 points)


APACH II Score:

 


Apache II Score / Predicted Mortality Rate

Reference: Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985). "APACHII: a severity of disease calssification system". Critical Care Medicine 13 (10): 818-29.

     
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