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Related Experiment Videos

The Rapid Acute Physiology Score.

K J Rhee, C J Fisher, N H Willitis

    The American Journal of Emergency Medicine
    |July 1, 1987
    PubMed
    Summary

    The Rapid Acute Physiology Score (RAPS) is a useful tool for critical care transports, complementing the APACHE-II score. RAPS shows significant predictive power for mortality, especially when used alongside APACHE-II.

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    Area of Science:

    • Critical Care Medicine
    • Medical Informatics
    • Emergency Medicine

    Background:

    • The Acute Physiology and Chronic Health Evaluation (APACHE-II) is a widely used severity scale.
    • There is a need for a simplified severity scale suitable for critical care transports.
    • The Rapid Acute Physiology Score (RAPS) was developed as an abbreviated version of APACHE-II.

    Purpose of the Study:

    • To develop and test the Rapid Acute Physiology Score (RAPS) for critical care transports.
    • To evaluate RAPS's utility as a severity scale.
    • To compare the predictive power of RAPS and APACHE-II for mortality.

    Main Methods:

    • RAPS was developed using routinely available parameters: pulse, blood pressure, respiratory rate, and Glasgow Coma Scale.
    • Two hundred eighty-three patients were transported by helicopter.
    • Statistical analysis included stepwise logistic regression and correlation analysis.

    Main Results:

    • RAPS has a range of 0-16 and was available for 282 of 283 patients.
    • APACHE-II scores were collected for 227 patients.
    • Both APACHE-II and RAPS demonstrated significant predictive power for mortality.
    • A high correlation (r = .8472) was found between RAPS worst values and APACHE-II worst values.

    Conclusions:

    • RAPS is a useful complement to APACHE-II in critical care transports.
    • RAPS has significant predictive utility for mortality.
    • RAPS may have limited utility when used alone.

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