NDLI: Comparison of the acute physiology and chronic health evaluation score (APACHE) II with GCS in predicting hospital mortality of neurosurgical intensive care unit patients.

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Comparison of the acute physiology and chronic health evaluation score (APACHE) II with GCS in predicting hospital mortality of neurosurgical intensive care unit patients.

Year: 2012 Volume: 4 Issue: 2

Year: 2012 Volume: 4 Issue: 1

Year: 2011 Volume: 4

Comparison of the acute physiology and chronic health evaluation score (APACHE) II with GCS in predicting hospital mortality of neurosurgical intensive care unit patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Zali, Ali Reza Seddighi, Amir Saied Seddighi, Afsoun Ashrafi, Farzad
Spatial Coverage	Iran
Description	Country affiliation: Iran Author Affiliation: Zali AR ( Neurosurgery Research Center of Shohada Tajrish Hospital, Shahid Beheshti University of Medical SciencesTehran, Iran.)
Abstract	BACKGROUND: The Glasgow Coma Scale (GCS) is popular, simple, and reliable, and provides information about the level of consciousness in trauma patients. However, a systemic evaluation scale specially in patients with multiple trauma is so important. The revised Acute Physiology and Chronic Health Evaluation system type 2 (APACHE II) is a physiologically based system including physiological variables. This study compares the efficacy of the predicting power for mortality and functional outcome of GCS and APACHEII in patients with multiple trauma in intensive care unit. METHODS: This study included the patients with head injury associated with systemic trauma admitted in the ICU of Shahid Rajaee Hospital in 2007 and 2008. Sensitivity, specificity and correct prediction of outcome by GCS and APACHE II were assessed and compared. RESULTS: This study included 93 patients (79 males, 14 females; mean age 60.5; range 14 to 87 years) with head injury associated with systemic trauma in 2007 and 2008. Mortality increased in the elderly group. The mean survival score using APACHE II was 36.5 and death score was 67.4 . These values using GCS were 10.3 and 6.8, respectively. CONCLUSION: For the assessment of mortality, the GCS score still provides simple, less-time consuming and effective information concerning head injury patients, especially in emergencies; however, for the prediction of mortality in patients with multiple trauma. APACHE II is superior to GCS since it includes the main physiologic parameters of patients.
File Format	HTM / HTML
ISSN	19169736
e-ISSN	19169744
DOI	10.5539/gjhs.v4n3p179
Journal	Global Journal of Health Science
Issue Number	3
Volume Number	4
Language	English
Publisher	Canadian Center of Science and Education
Publisher Date	2012-04-28
Publisher Place	Canada
Access Restriction	Open
Subject Keyword	Discipline Public Health Apache Glasgow Coma Scale Hospital Mortality Intensive Care Units Neurosurgery Adolescent Craniocerebral Trauma Predictive Value Of Tests Roc Curve Comparative Study
Content Type	Text
Resource Type	Article
Subject	Medicine

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Comparison of the Acute Physiology and Chronic Health Evaluation Score (APACHE) II with GCS in Predicting Hospital Mortality of Neurosurgical Intensive Care Unit Patients

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Comparison of the acute physiology and chronic health evaluation score (APACHE) II with GCS in predicting hospital mortality of neurosurgical intensive care unit patients.

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