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A critical study of the APACHE II scoring system using earlier data collection.
  1. M Waters,
  2. P Nightingale,
  3. J D Edwards
  1. Department of Accident and Emergency Medicine, University Hospital of South Manchester, England.

    Abstract

    The APACHE II severity of illness scoring system was prospectively studied on 756 patients admitted to a general intensive care unit (ICU) from January 1986 to June 1988. Admission data were used. Individual and group risk of death were calculated for 3 diagnostic categories commonly seen in the A&E department and requiring admission to an ICU. The APACHE II score on admission tended to underestimate the risk of death following operative and non-operative trauma, and self-poisoning. This may have been related to the use of an analysis not yet validated against values obtained on admission to ICU. Such validation is urgently needed on a UK population if APACHE II scoring is to be of value in the A&E department.

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