Volume 4, Issue 4 (winter 2014)                   JAP 2014, 4(4): 41-51 | Back to browse issues page

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Yasemi M, Hemmati K, Khodadadi I, Yasemi M. Prognosis Evaluation in Hospitalized ICU Patients According to APACHE II. JAP 2014; 4 (4) :41-51
URL: http://jap.iums.ac.ir/article-1-5091-en.html
1- Ilam University of Medical Science
2- Ilam University of Medical Science , khematy@gmail.com
Abstract:   (4938 Views)
Aim and Background: The estimation systems of mortality based on severity of disease are increasingly popular
in the last 20 years, especially in the field of medical care. The purpose of this study is to evaluate the prognosis of
hospitalized ICU patients according to Apache 2 scoring system in educational hospitals in Ilam city during 2013.
Methods and Materials: In order to perform this prospective and analytic study, 150 patients admitted to the
ICU ward of Imam and Mustafa Khomeini hospitals, were evaluated during 2013. A questionnaire that included
demographic information and the Apache 2 criteria was completed for each patient and finally all of the data were
analyzed by using statistical methods (SPSS software).
Findings: The mean age of patients was 47.56 ±2. 103 patients (68.7%) were male, and overall the mean Apache
2 score was 13.54 and was higher in women (16.6 VS 12.1) as well as the mean. 27.4% of patients died. The
observed mortality rate was higher than the predicted mortality (12.7). Area under the ROC curve (AUC) of the
Apache 2 model was 70% for the study.
Conclusions: Generally, the Apache 2 system has a good discrimination power, but for good calibration of the
model regarding mortality prediction, more studies are recommended.
Keywords: APACHE II, ICU, Mortality
Full-Text [PDF 435 kb]   (3791 Downloads)    
Type of Study: Original | Subject: Postanesthesia Care
Received: 2014.03.5 | Accepted: 2014.03.5 | Published: 2014.03.5

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