The objectives of this study were to refine the Acute Physiology and Chronic Health Evaluation (APACHE-Ⅱ) scoring system in order to more accurately predict hospital mortality risk and to identify the patients who need the ICU admission and the pred...
The objectives of this study were to refine the Acute Physiology and Chronic Health Evaluation (APACHE-Ⅱ) scoring system in order to more accurately predict hospital mortality risk and to identify the patients who need the ICU admission and the predictability of length of ICU stay for critically ill hospitalized patients. We retrospectively collected data on 36 surgical intensive care unit (ICU) admissions at Dept. of Surgery, Chungnam National University Hospital between March 1993 and June 1996. An increasing APACHE-Ⅱ score was associated with increased mortality rate (p<0.005). And daily APACHE-Ⅱ scores may be used for monitoring of the patient progression and the course of illness (p<0.005). But APACHE-Ⅱ can not predict ICU length of stay (p>0.005). We conclude that APACHE-Ⅱ may be utilized to clinical assessment in the evaluation of the severity of illness and mortality risk in critically ill patients and also APACHE-Ⅱ may prove a useful means of monitoring the course of the illness and response to therapy in any selected patients.