APACHE II - Application

Application

APACHE II was designed to measure the severity of disease for adult patients admitted to intensive care units. The lower age bound is not specified in the original article, but a good limit is to use Apache II only for patients aged 15 or older -For citation, see APACHE III Prognostic System, Knaus et al., paragraph "Patient Selection", page 1620 -

This scoring system is used in many ways:

  • Some procedures are some medicine is only given to patients with a certain APACHE II score
  • APACHE II score can be used to describe the morbidity of a patient when comparing the outcome with other patients.
  • Predicted mortalities are averaged for groups of patients in order to specify the group's morbidity.

Even though newer scoring systems, such as SAPS II, have replaced APACHE II in many places, APACHE II continues to be used extensively because so much documentation is based on it.

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