Influence of time elapsed from end of emergency surgery until admission to intensive care unit, on Acute Physiology and Chronic Health Evaluation II (APACHE II) prediction and patient mortality rate

Chiavone, Paulo Antônio; Rasslan, Samir

doi:10.1590/s1516-31802005000400003

Cited by 20 publications

(17 citation statements)

References 25 publications

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“…Th e APACHE II score is the most commonly used predictor of mortality in intensive care patients. In studies by Chiavone et al and Sahana et al, higher APACHE II scores were reported to be associated with higher mortality rates [6,7]. As the largest of its kind, our study also demonstrated a link between high APACHE II scores and mortality; however, no diff erence between the sexes could be established.…”

Section: Discussionsupporting

confidence: 54%

Thyroid hormone levels as a predictor of mortality in intensive care patients: A comparative prospective study

Taş¹,

Tetıker

Beyazıt

et al. 2012

Wien Klin Wochenschr

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Section: Discussionsupporting

confidence: 54%

Thyroid hormone levels as a predictor of mortality in intensive care patients: A comparative prospective study

Taş¹,

Tetıker

Beyazıt

et al. 2012

Wien Klin Wochenschr

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“…Critically ill patients need early interventions to improve outcomes [2-7]; therefore, the phenomenon of waiting for ICU bed availability has been suggested to be associated with higher mortality [8-12]. The positive impact of ICU admission on patient survival is more evident during the first 72 hours of critical illness [13].…”

Section: Introductionmentioning

confidence: 99%

“…The waiting time for ICU bed availability varies between hospitals and countries, and typically ranges from 2 hours to 3.5 days [8-12,17-19]. The proportion of patients who wait for ICU admission varies from 2.1 to 75.5% [8-12,20-22], depending on how delays are calculated.…”

Section: Introductionmentioning

confidence: 99%

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Impact of delayed admission to intensive care units on mortality of critically ill patients: a cohort study

et al. 2011

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IntroductionWhen the number of patients who require intensive care is greater than the number of beds available, intensive care unit (ICU) entry flow is obstructed. This phenomenon has been associated with higher mortality rates in patients that are not admitted despite their need, and in patients that are admitted but are waiting for a bed. The purpose of this study is to evaluate if a delay in ICU admission affects mortality for critically ill patients.MethodsA prospective cohort of adult patients admitted to the ICU of our institution between January and December 2005 were analyzed. Patients for whom a bed was available were immediately admitted; when no bed was available, patients waited for ICU admission. ICU admission was classified as either delayed or immediate. Confounding variables examined were: age, sex, originating hospital ward, ICU diagnosis, co-morbidity, Acute Physiology and Chronic Health Evaluation (APACHE) II score, therapeutic intervention, and Sequential Organ Failure Assessment (SOFA) score. All patients were followed until hospital discharge.ResultsA total of 401 patients were evaluated; 125 (31.2%) patients were immediately admitted and 276 (68.8%) patients had delayed admission. There was a significant increase in ICU mortality rates with a delay in ICU admission (P = 0.002). The fraction of mortality risk attributable to ICU delay was 30% (95% confidence interval (CI): 11.2% to 44.8%). Each hour of waiting was independently associated with a 1.5% increased risk of ICU death (hazard ratio (HR): 1.015; 95% CI 1.006 to 1.023; P = 0.001).ConclusionsThere is a significant association between time to admission and survival rates. Early admission to the ICU is more likely to produce positive outcomes.

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“…Chiavone PA ve arkadaşlarının yaptığı çalışmada APACHE-II değeri arttıkça mortalite oranının arttığı gösterildi (18,19). Çalışmamızda ise APACHE-II skoru ile mortalite arasında istatistiksel olarak anlamlı bir ilişki saptanmadı.…”

Section: Discussionunclassified

The Relationship Between Inflammatory Reagents and Mortality in Patients Over the Age of 55 Hospitalised in the Internal Medicine Intensive Care Unit from the Emergency Service

Uluoz¹,

Sebe²,

Ay³

et al. 2013

JAEM

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Objective: In this study, we tried to determine the relationship between inflammatory reagents, acute phase reactants, GCS, APACHE-II, SAPS-II scores and mortality of the patients over the age of 55 hospitalised inthe internal medicine intensive care unit. Material and Methods: This study was planned as a prospective, randomized study and the patients hospitalized in the intensive care unit from the emergency medicine department were enrolled in this study following the ethics committee approval. A standard data collection form was prpeared to collect the data in a standard way. 48 (%65.8) male, 25 (%34.2) women and a total of 73 patients were included in our study. Blood samples were taken from each patient and white blood cell (WBC), hemoglobin, c-reactive protein (CRP), interleukin-1 (IL-1), interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor-alpha (TNF-alpha), prothrombin time (PTZ), activated partial thromboplastin time (aPTT), albumin and ferritin levels were studied in our laboratory. Glasgow Coma Scale, SAPS-II and APACHE-II scores were calculated for each patient. "SPSS for Windows version 18" package program was used for statistical analysis of the data. Chi square test was used to compare categorical measures between the groups. Mann-Whitney U test and T-test were used to compare quantitative measurements between the groups. Results: There was no statistically significant difference in mean age among patients who died and survived . Mean duration of hospitalization inthe patient group who died was less than for the survived patients group but there was no statistically significant difference between groups. A significant relationship was found between mortality and the high levels of ferritin, aPTT, SAPS-II and the low levels of albümin, GCS. No significant relationship was found between mortality and leukocyte count, haemoglobin, PTZ, CRP, TNFalpha, IL-1, IL-6, IL-10 and APACHE-II score. Conclusion: SAPS-II, GCS, ferritin, albumin, aPTT measurements were determined to be used in the mortality estimation of the patients hospitalised in the intensive care unit. (JAEM 2013; 12: 13-8)

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Influence of time elapsed from end of emergency surgery until admission to intensive care unit, on Acute Physiology and Chronic Health Evaluation II (APACHE II) prediction and patient mortality rate

Abstract: APACHE II foresaw the mortality rate among patients that arrived faster to the intensive core unit, while the mortality rate was higher among those patients whose admission to the intensive care unit took longer.

Cited by 20 publications

References 25 publications

Thyroid hormone levels as a predictor of mortality in intensive care patients: A comparative prospective study

Thyroid hormone levels as a predictor of mortality in intensive care patients: A comparative prospective study

Impact of delayed admission to intensive care units on mortality of critically ill patients: a cohort study

The Relationship Between Inflammatory Reagents and Mortality in Patients Over the Age of 55 Hospitalised in the Internal Medicine Intensive Care Unit from the Emergency Service

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