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Acute Phisiology And Chronic Health Evaluation

The APACHE II system is used for an assessment of weight of a state at most of the patients who are in the intensive care units (ICU) and the forecast. This system is not intended for patients with burns and after operation of aortocoronary shunting.

Drawing reflects results of multicenter research of 5815 surgical patients who are in OIT after the undergone operations. * Similar data were obtained also at the therapeutic patients who are in OIT.


* It is brought with permission from Knaus WA et al. APACHE II: A severity of disease classification system. Crit Care Med 1985; 13:818-829.

The assessment on the APACHE II system consists of 3 parts.

  1. The Emergency Assessment of Physiological Functions (EAPF) is carried out by means of 12 indicators received in the first 24 h finding of the patient in OIT. The greatest aberrations of each indicator expressed in points sum up for receiving a ball assessment of weight of a condition of the patient. The only subjective indicator of this part of system is the scale of Glasgow which is stated above.
  2. Value of age is estimated on a six-ball scale (see below).
  3. Value of associated diseases is estimated by 5 additional criteria depending on involvement of the main systems of an organism.

The final result of testing on the APACHE II system is defined by a score of three of its compound parts. The criteria used in each part of system are listed below.



Source: L. Marino's sex, Intensive care.