APACHE

Acute Physiology, Age, Chronic Health Evaluation 

Current version: IV

  

Parameters (APACHE II)

1. AaDO2 or PaO2 (depending on FiO2)
2. Temperature (rectal)
3. Mean arterial pressure
4. pH arterial
5. Heart rate
6. Respiratory rate
7. Sodium (serum)
8. Potassium (serum)
9. Creatinine
10. Haematocrit
11. White blood cell count
12. Glasgow Coma Scale

 

Prognosis (APACHE II)

 <15

Mortality: 0.29 %
Admitted to ICU: 6.53 %

15-20

Mortality:  11.33 %
Admitted to ICU: 28.00 %

21-25

Mortality: 19.80 %
Admitted to ICU: 46.53 %

>25

Mortality: 60.61 %
Admitted to ICU: 81.82 %

 

History

• 1981: APACHE published
• 1985: APACHE II published (score 0-71)
• 1991: APACHE III published (score 0-299)
• 2006: APACHE IV published (score 0-286)

 

See also

• NEWS (National Early Warning Score)
• MEWS (Modified Early Warning Score)
• SAPS (Simplified Acute Physiology Score)
• SOFA (Sequential organ failure assessment score)