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Evaluation of the Acute Physiology and Chronic Health Evaluation III in predicting the prognosis of patients admitted to Emergency Department, in need of intensive care unit.
Am J Emerg Med. 2012 Sep; 30(7):1141-5.AJ

Abstract

INTRODUCTION

Many of critically ill patients receive medical care for prolonged periods in emergency department (ED). This study is the evaluation of efficiency of Acute Physiology and Chronic Health Evaluation (APACHE) III scoring system in predicting mortality rate in these patients.

METHODS

This study was conducted between 2008 and 2009 in Tehran, Iran. One hundred subjects were enrolled in the study. Cases were chosen from patients in need of intensive care unit (ICU) bed who were kept in the ED. The APACHE III scores and predicted and observed mortality rates were calculated using the information from patients' files, interviews with the patients' families, and performing required physical examinations and laboratory tests.

RESULTS

The age of the patients and the ED length of stay were 66.07 (±19.92) years and 5.11 (±3.79) days, respectively. The mean (±SD) of APACHE III score of the patients was 58.89 (±18.24). The predicted mortality rate was calculated to be 32.73%, whereas the observed mortality rate was 55%. The mean (±SD) of APACHE III score of survivors and nonsurvivors was 48.63 (±16.35) and 67.63 (±14.84), respectively (P < .001). Furthermore, the ED length of stay was 3.20 (±1.34) and 6.57 (±4.4) days in survivors vs nonsurvivors, respectively (P < .001).

CONCLUSION

The APACHE III score and ED lengths of stay were higher in this study compared with other studies. This could be ascribed to more critical patients presenting to the study center and also limited ICU bed availability. This study was indicative of applicability of APACHE III scoring system in evaluating the quality of care and prognosis of ED patients in need of ICU.

Authors+Show Affiliations

Department of Emergency Medicine, Imam Hosain Hospital, Shahid Beheshti University of Medical Sciences, Tehran 1617763141, Iran.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22030201

Citation

Hatamabadi, Hamid Reza, et al. "Evaluation of the Acute Physiology and Chronic Health Evaluation III in Predicting the Prognosis of Patients Admitted to Emergency Department, in Need of Intensive Care Unit." The American Journal of Emergency Medicine, vol. 30, no. 7, 2012, pp. 1141-5.
Hatamabadi HR, Darbandsar Mazandarani P, Abdalvand A, et al. Evaluation of the Acute Physiology and Chronic Health Evaluation III in predicting the prognosis of patients admitted to Emergency Department, in need of intensive care unit. Am J Emerg Med. 2012;30(7):1141-5.
Hatamabadi, H. R., Darbandsar Mazandarani, P., Abdalvand, A., Arhami Dolatabadi, A., Amini, A., Kariman, H., & Derakhshanfar, H. (2012). Evaluation of the Acute Physiology and Chronic Health Evaluation III in predicting the prognosis of patients admitted to Emergency Department, in need of intensive care unit. The American Journal of Emergency Medicine, 30(7), 1141-5. https://doi.org/10.1016/j.ajem.2011.08.005
Hatamabadi HR, et al. Evaluation of the Acute Physiology and Chronic Health Evaluation III in Predicting the Prognosis of Patients Admitted to Emergency Department, in Need of Intensive Care Unit. Am J Emerg Med. 2012;30(7):1141-5. PubMed PMID: 22030201.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of the Acute Physiology and Chronic Health Evaluation III in predicting the prognosis of patients admitted to Emergency Department, in need of intensive care unit. AU - Hatamabadi,Hamid Reza, AU - Darbandsar Mazandarani,Parvin, AU - Abdalvand,Ali, AU - Arhami Dolatabadi,Ali, AU - Amini,Afshin, AU - Kariman,Hamid, AU - Derakhshanfar,Hojjat, Y1 - 2011/10/24/ PY - 2011/05/18/received PY - 2011/08/04/revised PY - 2011/08/05/accepted PY - 2011/10/28/entrez PY - 2011/10/28/pubmed PY - 2012/11/3/medline SP - 1141 EP - 5 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 30 IS - 7 N2 - INTRODUCTION: Many of critically ill patients receive medical care for prolonged periods in emergency department (ED). This study is the evaluation of efficiency of Acute Physiology and Chronic Health Evaluation (APACHE) III scoring system in predicting mortality rate in these patients. METHODS: This study was conducted between 2008 and 2009 in Tehran, Iran. One hundred subjects were enrolled in the study. Cases were chosen from patients in need of intensive care unit (ICU) bed who were kept in the ED. The APACHE III scores and predicted and observed mortality rates were calculated using the information from patients' files, interviews with the patients' families, and performing required physical examinations and laboratory tests. RESULTS: The age of the patients and the ED length of stay were 66.07 (±19.92) years and 5.11 (±3.79) days, respectively. The mean (±SD) of APACHE III score of the patients was 58.89 (±18.24). The predicted mortality rate was calculated to be 32.73%, whereas the observed mortality rate was 55%. The mean (±SD) of APACHE III score of survivors and nonsurvivors was 48.63 (±16.35) and 67.63 (±14.84), respectively (P < .001). Furthermore, the ED length of stay was 3.20 (±1.34) and 6.57 (±4.4) days in survivors vs nonsurvivors, respectively (P < .001). CONCLUSION: The APACHE III score and ED lengths of stay were higher in this study compared with other studies. This could be ascribed to more critical patients presenting to the study center and also limited ICU bed availability. This study was indicative of applicability of APACHE III scoring system in evaluating the quality of care and prognosis of ED patients in need of ICU. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/22030201/Evaluation_of_the_Acute_Physiology_and_Chronic_Health_Evaluation_III_in_predicting_the_prognosis_of_patients_admitted_to_Emergency_Department_in_need_of_intensive_care_unit_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(11)00371-8 DB - PRIME DP - Unbound Medicine ER -