Volume 15, Issue 59 (10-2006)                   jour guilan uni med sci 2006, 15(59): 85-90 | Back to browse issues page

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Mohammadi H, Haghighi M. Survey Relationship of Mortality Rate of Hospitalized Patients in ICU with Different Degrees of APACHE II . jour guilan uni med sci. 2006; 15 (59) :85-90
URL: http://journal.gums.ac.ir/article-1-453-en.html
Abstract:   (10616 Views)
Abstract Introduction: In Attention to the importance of caring for patients referring to treatment centers specially ICU, the care prided should be in concordance with the severity of disease so that it give satisfactory result and patients with more sever disease receive intensive care. It is necessary to use standard scoring of APACHE II to determine the severity of disease and compare it with other standard treatment centers. Objective: This survey is carried out to determine relationship between APACHEII scoring system and mortality rate of patient in ICU. Materials and Methods: This descriptive and retrospective study was performed in one-year period from mid Agust 2004 to 2005 in ICU ward of Poorsina Hospital. Overall admitted patients were 600 and data were collected from 200 patients and recorded in special data sheet of APACHEII Scoring system. In APACH II system there are two criteria that together make the acute physiology and two other criteria including chronic disease and age were included and the maximum score was 710. Data sheet were prepared for all patient and at the end of sheet, total scoring was recorded. This scoring system had relationship with mortality. In the scoring: 0-12, 16-19, 20-30 and >30, probability of mortality were: % 10, %15, %35 and> %75 respectively. Results: In the assessment of 200 patients, men group were 66.5% (133) and women group 33.5% (67). Mortality and viability in these two group was 22% (44) and 78% (156) respectively. All of 117 (%58.5) patients with scoring below 15 were alive and scoring above 30 died. (2.5%). In 50(%25) patients with scoring between 20-30, 37(%84.59) died and 13 patients were lived. In the patients with scoring number between 16-19, mortality rate was % 4.54(2) and viability was 16.6% (26). In comparison with standard scoring system, mortality rate in scores below 19 in Poorsina center was lower than standard, but with scores above 20, mortality rate was greater than standard system. So scoring between 20-30, mortality rate was %39 and with scoring above 30 , mortality rate was % 25 greater than standard system. Conclusion: With increasing the scoring number, mortality was increased. In greater scoring numbers, severe intensive care must be considered for ICU patient.
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Type of Study: Research | Subject: Special
Received: 2014/01/13 | Accepted: 2014/01/13 | Published: 2014/01/13

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