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[The clinical features of multiple-trauma patients APACHE II score system]
1Department of Intensive Care Unit, Xiangya Hospital, Hunan Medical University, Changsha 410008.
Hunan Yi Ke Da Xue Xue Bao = Hunan Yike Daxue Xuebao = Bulletin of Hunan Medical University
|May 23, 2002
Summary
The Acute Physiology and Chronic Health Evaluation (APACHE II) system helps predict outcomes for trauma patients. Higher APACHE II scores correlate with longer intensive care unit stays and increased mortality risk.
Area of Science:
- Critical Care Medicine
- Trauma Surgery
- Clinical Outcomes Research
Context:
- Intensive care units (ICUs) manage severely injured patients.
- Multiple-trauma necessitates comprehensive patient assessment.
- The APACHE II system is a validated severity-of-illness scoring tool.
Purpose:
- To evaluate the clinical features of multiple-trauma patients using the APACHE II system.
- To determine the correlation between APACHE II scores and patient outcomes in the ICU.
Summary:
- A study observed 76 multiple-trauma patients in the ICU, utilizing the APACHE II system.
- The average APACHE II score was 18.4, with a mean ICU stay of 91.5 hours.
- Outcomes included 7.9% mortality, 17.1% developing Multiple Organ Dysfunction Syndrome (MODS), and 13.2% developing Acute Respiratory Distress Syndrome (ARDS).
Impact:
- APACHE II scores effectively predict longer ICU durations.
- Elevated APACHE II scores are associated with increased patient mortality.
- This research aids in risk stratification and resource allocation for trauma patients.