Related Experiment Videos
Does Acute Physiologic and Chronic Health Evaluation (APACHE II) scoring predict need for prolonged support after
1Department of Anesthesia, University of California at San Francisco 94143-0624, USA.
Anesthesia and Analgesia
|July 1, 1995
Summary
The APACHE II scoring system can identify patients undergoing coronary artery bypass graft (CABG) surgery who are at risk for prolonged intensive care unit (ICU) stays. This helps optimize ICU resource allocation for better patient outcomes.
Area of Science:
- Cardiology
- Intensive Care Medicine
- Health Services Research
Background:
- Coronary artery bypass graft (CABG) surgery requires significant intensive care unit (ICU) resources.
- Identifying patients at risk for prolonged ICU stays is crucial for efficient resource management.
Purpose of the Study:
- To evaluate the effectiveness of the Acute Physiologic and Chronic Health Evaluation (APACHE II) system in predicting prolonged ICU stays for post-CABG patients.
- To determine if APACHE II scores at admission can differentiate between patients with short and long ICU durations.
Main Methods:
- Retrospective review of ICU length of stay for post-CABG patients over one year.
- Comparison of APACHE II scores between a study group (14-84 days ICU stay) and a control group (≤48 hours ICU stay).
- Analysis of physiological variables and perioperative interventions impacting APACHE II scores.
Main Results:
- The mean APACHE II score for the prolonged ICU stay group was 23.5.
- The mean APACHE II score for the short ICU stay group was 13.2.
- A statistically significant difference (P < 0.001) was observed between the two groups' scores.
Conclusions:
- The APACHE II system is a valuable tool for identifying post-CABG patients likely to require extended ICU care upon admission.
- Utilizing APACHE II scores can aid in optimizing ICU resource allocation and management for cardiac surgery patients.