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2020, Number 3

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Rev Cub Med Int Emerg 2020; 19 (3)

APACHE II as predictor of mortality in an intensive care unit

Ramírez GAD, Vázquez VL, Blandy MA, Valdés GI, Martínez AA, Davas SRS

Language: Spanish
References: 23
Page: 1-17
PDF size: 335.47 Kb.


ABSTRACT

Introduction: The Acute Physiology and Chronic Health Evaluation II (APACHE II) is the score system of severity illness more commonly used on Intensive Care Unit around the world.
Objective: To describe the behavior of the Death rate using as predictor instrument the score system APACHE II.
Methods: A descriptive, prospective, longitudinal study was performed between November 2017 and November 2018 using the APACHE II score from 24 hours after the patient was admitted into the Intensive Care Unit of the Salvador Allende Hospital, Cerro, Havana, Cuba. The population corresponded with 551 cases. Analyzed variables were: age, sex, hospital stay, outcome status, APACHE II, profiles and diagnostics categories. The results were shown in absolute and relative frequencies, percentages and dispersion measures. It was performed the coefficient of Pearson´s correlation for determine the magnitude of association of quantitative variables.
Results: The average age was 62,26 years. The male sex predominated. 23,6% of the sample died, while the average of hospital stay was 4,16 days. Clinical profile donated 87,7% of deaths. The APACHE II medium was 12,82 points, and the quartile of 25-29 contributed with the mayor quantities of deceased.
Conclusions: Global mortality was relatively low, with the male sex being the predominant and also the one with the highest number of deaths, mainly due to respiratory diseases. In the APACHE II score, there was a tendency to increase real mortality in accordance with highest score range.


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