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Published byEsmond Copeland Modified over 9 years ago
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First Author: Ráduly Kinga Author: Ráduly Orsolya Coordinators: Dr. Zaharia Kézdi Iringo, Dr. Nina Sincu
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APACHE II was designed to measure the severity of disease for adult patients admitted to Intensive care units, for patients aged 15 or older. This scoring system is used in many ways: 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.
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The Estimated Risk of Hospital Death (ERHD), based on APACHE II score: - > 35% for APACHE II score > 20 pt - 11-35% for APACHE II score of 10-20 pt - < 11% for APACHE II score < 10 pt
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We have conducted a retrospective, descriptive, transversal study on a sample of 29 patients admitted to Infectious Diseases Clinic I from Tg-Mures, during 2009-2010. The study included patients aged 16 or older, diagnosed with an infectious disease, who required intensive care treatment. We analyzed the patients’ files and calculated the APACHE II score. The results were analyzed by using a statistic programme (GraphPad)
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Age over ≥ 65 years: 6 out of 8 patients have deceased (75%) < 65 years: 9 out of 21 patients (42.85%) P 0.2148 - we did not find statistically significant association RR: 1.750 CI 95%= 0.9267-3.305
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Mortality rate: - 84.16% for APACHE II > 20 pt - 30.76% - APACHE II 10- 20 pt - 0% - APACHE II < 10 pt
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The mortality rate was higher than expected in patients with APACHE II score > 20 pt (84.16 % compared with an ERHD > 35 %) We did not find statistically significant association between advanced age (over 65 years old) and mortality rate (p=0.2148). The severe illnesses, such as severe sepsis and respiratory impairment were associated with worse outcome.
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