Medicina Crítica

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Medicina Crítica >Year 2006, Issue 1

Gien LJA, Salazar EDC, López RUC, Ramírez RJJ
Predictive value of APACHE II Scale on the mortality in an adult intensive care unit of Mérida City, Yucatán
Rev Asoc Mex Med Crit y Ter Int 2006; 20 (1)

Language: Español
References: 35
Page: 30-40
PDF: 126.19 Kb.

Texto completo


Objective: To evaluate the predicitive value of APACHE II Scale on the mortality in an adult intensive care unit.
Design: Prospective study.
Setting: ICU of a general hospital, Mérida, Yucatán; Mexico.
Patients: All patients admitted to an ICU during a fivemonth period.
Interventions: None.
Results: A total of 348 patients were admitted to the ICU, of these, 326 patients (204 men and 122 women, mean age 52 ± 20 yrs) were included. APACHE II Scale was 7 ± 4.49 points vs 12.38 ± 5.13; ICU stay 5 ± 4 vs 6 ± 7 days, respectively for survivors and non survivors. The mortality rate was 15.33% and the sensibility and specificity were 56% y 100% respectively, and a predictive negative value of 92% was obtained.
Conclusion: APACHE II Scale is useful to evaluate the mortality in the ICU of Mérida, Yucatán.

Key words: APACHE II Scale, prognosis, ICU patients.


  1. Task force on guidelines, society of critical care medicine: Guidelines for categorization of services for the critically ill patient. Crit Care Med 1991;19:279-285.

  2. Benítez-Cortazar M. Mito y realidad del cuidado intensivo. Rev Iberolat C Int 1992;1(2):75-83.

  3. Olvera HC. Rev Iberolat C Int 1995;4(4):194-198.

  4. Society of critical care medicine: recommendations for services and personnel for delivery of care in critical care setting. Crit care Med 1998;16:809-811.

  5. Brili, Richard et al. Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med 2001;29(10):2007-2019.

  6. Irone M, Parise N, Bolgan I, Compostrina S, Dan M, Piccini P. Assessment of adequacy of ICU admission. Minerva Anestesiol 2002;68(4):201-207.

  7. Zia MJ. Indications of UCI admission. Chest 1994;106(3): 979-980.

  8. Society of critical care medicine: Guidelines for intensive care unit admission, discharge, and triage. Crit Care Med 1999;27(3):633-6338.

  9. Gunning K, Rowan K. Outcome data and scoring systems. BMJ 1999;319:241-244.

  10. Serrano N, Garcia A, Mora M, Fedriani J. Validación de los Mortality Probability Models II al ingreso (MPM II-0), a las 24 horas (MPM II-24), y a las 48 horas (MPM II-48) comparados con las predicciones de mortalidad hospitalaria de APACHE II y SAPS II realizadas en los días 1 y 2 de estancia en UCI. Med Intensiva 2000;24:49-60.

  11. Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE acute physiology and chronic health evaluation: A physiologically based classification system. Crit Care Med 1981;9:591-597.

  12. Knaus WA, Draper EA, Wagner DP, Zimmerman JE, Birnbaum ML, Cullen DJ et al. Evaluating outcome from intensive care: a preliminary multihospital comparison. Crit Care Med 1982;10:491-496.

  13. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med 1985;13:818-829.

  14. Civetta JM, Hudson-Civetta JA, Kirton O, Aragon C, Salas C. Further appraisal of APACHE II limitations and potential. Surg Gynecol Obstet 1992;175:195-203.

  15. Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 1991;100:1619-1636.

  16. Rainer M, Gerd D, Ludger P, Theo S, Lorenz C. Performance of the score systems Acute Physiology and Chronic Health Evaluation II and III at an interdisciplinary intensive care unit, after customization. Critical Care Med 2001;5:31-36.

  17. Cerón U, Esponda J, Borboya M, Vázquez JP. Valor predictivo de los sistemas de calificación de gravedad: comparación de cuatro modelos en tres unidades de terapia intensiva mexicanas incluidas en la base de datos multicéntrica de terapia Intensiva. Rev Asoc Mex Med Crit y Ter Int 2000;14(2):50-59.

  18. Zimmerman JE, Wagner DP, Draper EA, Wright L, Alzola C, Knaus WA. Evaluation of acute physiology and chronic health evaluation III predictions of hospital mortality in an independent database. Crit Care Med 1998;26:1.317-1.326.

  19. Glance M, Osler T, Dick A. Rating the quality of intensive care units: Is it a function of the intensive care unit scoring system? Crit Care Med 2002;30(9):105-108.

  20. Rutledge R, Fakhry S, Rutherford E et al. A comparison of APACHE II, Trauma and Injury Severity Scores as predictors of outcome in critically injured trauma patients. Am J Surg 1993;166:244-247.

  21. Rowan KM, Kerr JH, Major E et al. Intensive care society’s APACHE II study in Britain and Ireland. II: Outcome comparisons of intensive care units after adjustment for case mix by the American APACHE II method. BMJ 1993;307:977-981.

  22. Moreau R, Soupison T, Vanquelin P et al. Comparison of two simplified severity score (SAPS and APACHE II) for patients with acute myocardial infarction. Crit Care Med 1989;17:409-412.

  23. Bagwanjee S, Paru KF, Moodley J et al. Intensive care unit morbility and mortality from eclampsia: an evaluation of the Acute Physiology and Chronic Health Evaluation II Score and the Glasgow Coma Scale Score. Crit Care Med 2000;28:120-124.

  24. Yaseen A, Adnan A. External validation of a modified model of Acute Physiology and Chronic Health Evaluation (APACHE) II for orthotopic liver transplant patients. Critical Care 2002;6:245-250.

  25. Bohnen JM, Mustard RA, Oxholm SE, Schouten BD. APACHE II score and abdominal sepsis. Arch Surg 1988;123:225-229.

  26. Zauner CA, Apsner RC, Kranz A, Kramer L, Madl C, Schneider B, Schneeweiss B, Ratheiser K, Stockenhuber F, Lenz K. Outcome prediction for patients with cirrhosis of the liver in a medical ICU: a comparison of APACHE scores and liver-specific scoring systems. Intens Care Med 1996;22:559-563.

  27. Pizzorno J, Nuñez J et al. Evaluación de mortalidad en una unidad de terapia intensiva según el "score" apache II. Revista Médica del Nordeste 2002;1:24-27.

  28. Sirio CA, Tajimi K, Tase C et al. An initial comparison of Intensive Care in Japan and the United States. Crit Care Med 1992;20:1207-1215.

  29. Oh TE, Hutchinson R, Shorts E. Verification of the Acute Phisiology and Chronic Health evaluation scoring system in a Hong Kong Intensive Care Unit. Crit Care Med 1993;21:698-705.

  30. Multicenter Italian group of research in Intensive Therapy and Intensive Medicine in a metropolitan area An epidemiologic study. Minerva Anestesiol 1993;59:63-67.

  31. Wong DT, Crofts SL, Gomez M et al. Evaluation of predictive ability of APACHE II system and hospital outcome in Canadian Intensive Care patients. Crit Care Med 1995;23:1177-1183.

  32. Markgraf R, Deutschinoff G, Pientka L et al. Comparison of Acute Physiology and Chronic Health Evaluations II and III and Simplified Acute Physiology Score II: A prospective cohort study evaluating these methods to predict outcome in a German interdisciplinary intensive care unit. Crit Care Med 2000;28:26-33.

  33. Chirag RP, Dilip RK. Qualiti, cost, and outcome of intensive care in a public hospital in Bombay, India. Crit Care Med 1999;27:1754-1759.

  34. Blas J, Nava M, Juárez A. Mortalidad en la unidad de cuidados intensivos: evaluación con una escala pronóstica. Rev Asoc Mex Med Crit y Ter Int 2001;15(2):41-44.

  35. Soto A. Tesis recepcional: Valoración de la escala apache II y falla orgánica múltiple. Universidad Autónoma de Yucatán. 1991 Mérida Yucatán México.

>Journals >Medicina Crítica >Year 2006, Issue 1

· Journal Index 
· Links 

Copyright 2019