TY - JOUR PY - 1990// TI - APACHE II scoring in the injured patient JO - Critical care medicine A1 - Rhee, K. J. A1 - Baxt, W. G. A1 - Mackenzie, J. R. A1 - Willits, N. H. A1 - Burney, R. E. A1 - O'Malley, R. J. A1 - Reid, N. A1 - Schwabe, D. A1 - Storer, D. L. A1 - Weber, Rene SP - 827 EP - 830 VL - 18 IS - 8 N2 - The purpose of this study was to measure the predictive power of Acute Physiology and Chronic Health Evaluation (APACHE II) with respect to mortality in a group of seriously injured patients and to compare this predictive power with that of the Trauma Score (TS) and the Injury Severity Score (ISS). Six hundred ninety-one helicopter-transported patients were studied. Individual logistic regressions demonstrated that all three scores had significant predictive power when considered individually (TS chi 2 = 136, p less than .0001; APACHE II chi 2 = 171, p less than .0001; ISS chi 2 = 109, p less than .0001). In addition, each severity score added significantly to the predictive power in a stepwise logistic regression (TS chi 2 = 15, p less than .0001; APACHE II chi 2 = 45, p less than .0001; ISS chi 2 = 15, p less than .0001). Areas under the receiver operating curves for the three scores were not significantly different (TS 0.8116, SD 0.0245; APACHE II 0.8515, SD 0.0204; ISS 0.7967; SD 0.0223). APACHE II is a good predictor of mortality, and its predictive power is complemented by TS and ISS.

Language: en

LA - en SN - 0090-3493 UR - http://dx.doi.org/ ID - ref1 ER -