Evaluation of the performance of a modified Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system for critically ill patients in emergency departments in Hong Kong

Key components of the delirium syndrome and mortality: greater impact of acute change and disorganised thinking in a prospective cohort study

“…Demographic data (age, sex, place of residence, ethnic origin and marital status) was collected from hospital records. Other assessments included the Charlson Co-morbidity Index [27, 28], Waterlow Scale [29] and a modified version of the Acute Physiology and Chronic Health Evaluation (APACHE II) [30-32](omitting the arterial blood gas). Severity of functional impairment prior to hospital admission was gathered from next of kin or other carers using the Functional Assessment Staging Scale (FAST) [33].…”

Common laboratory tests predict imminent medical emergency team calls, intensive care unit admission or death in emergency department patients

“…However, so far, investigators have mostly focused on vital signs to achieve early identification of patients at risk 18,26 with AUC-ROC values between 0.65 and 0.85. 2 When attempts have been made to develop predictive models for ED patients, 2,4 they have been disease-or condition-specific, [13][14][15][16][17][18] have used ICUdeveloped illness severity scores, 4 selected physiological abnormalities assessed with vital sign acquisition. 2,4 When general studies have been performed in ED patients or patients just admitted to hospital, [19][20][21][22][23][24] they either have used clinical data to improve their predictive capability, have not considered ED patients separately, or have not developed a predictive model.…”

“…However, such systems have been disease‐specific, either based on the short‐term application of ICU‐developed illness severity scores, or based on selected physiological abnormalities assessed with vital sign acquisition . Other studies either have focused on a specific group of patients or have involved only hundreds of patients . When general studies have been performed in ED patients or patients just admitted to hospital, they have used clinical data to improve their predictive capability.…”

“…2,4 Other studies either have focused on a specific group of patients or have involved only hundreds of patients. [16][17][18] When general studies have been performed in ED patients or patients just admitted to hospital, [19][20][21][22][23][24] they have used clinical data to improve their predictive capability. This approach is clinically valuable 25,26 but makes assessment of the independent value of laboratory data problematic.…”

The value of the Mortality in Emergency Department Sepsis (MEDS) score, C reactive protein and lactate in predicting 28-day mortality of sepsis in a Dutch emergency department

“…Scores that were developed earlier, such as the Acute Physiology and Chronic Health Evaluation II (APACHE II), are not feasible for an ED setting because they include parameters not commonly obtainable to the ED doctor 13. In contrast, the MEDS score is a simple scoring system containing parameters that are readily available.…”