{"id":18,"date":"2009-02-20T18:12:12","date_gmt":"2009-02-20T18:12:12","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/utiapache\/"},"modified":"2025-05-14T21:05:13","modified_gmt":"2025-05-14T21:05:13","slug":"utiapache","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/utiapache\/","title":{"rendered":"The APACHE II Severity of Disease Classification System"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>APACHE II uses a point score based upon initial values of 12 routine physiologic measurements, age, and previous health status to provide a general measure of severity of disease.<\/p>\n<p><!--more--><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"http:\/\/www.medicalcriteria.com\/sitei\/apacheII.jpg\" width=\"617\" height=\"517\" \/><\/p>\n<p>Chronic Health Points: If the patient has a history of severe organ system insufficiency or is immunocompromised as defined below, assign points as follows:<\/p>\n<ul>\n<li>5 points for nonoperative or emergency postoperative patients<\/li>\n<li>2 points for elective postoperative patients<\/li>\n<\/ul>\n<p><strong>Definitions:<\/strong> organ insufficiency or immunocompromised state must have been evident prior to this hospital admission and conform to the following criteria:<\/p>\n<ul>\n<li><strong>Liver<\/strong> \u2013 biopsy proven cirrhosis and documented portal hypertension; episodes of past upper GI bleeding attributed to portal hypertension; or prior episodes of hepatic failure\/encephalopathy\/coma.<\/li>\n<li><strong>Cardiovascular<\/strong> \u2013 New York Heart Association Class IV.<\/li>\n<li><strong>Respiratory<\/strong> \u2013 Chronic restrictive, obstructive, or vascular disease resulting in severe exercise restriction (i.e., unable to climb stairs or perform household duties; or documented chronic hypoxia, hypercapnia, secondary polycythemia, severe pulmonary hypertension (&gt;40 mmHg), or respirator dependency.<\/li>\n<li><strong>Renal<\/strong> \u2013 receiving chronic dialysis.<\/li>\n<li><strong>Immunocompromised<\/strong> \u2013 the patient has received therapy that suppresses resistance to infection (e.g., immunosuppression, chemotherapy, radiation, long term or recent high dose steroids, or has a disease that is sufficiently advanced to suppress resistance to infection, e.g., leukemia, lymphoma, AIDS).<\/li>\n<\/ul>\n<p><strong>Interpretation of Score:<\/strong><\/p>\n<table id=\"AutoNumber1\" border=\"1\" width=\"197\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td align=\"center\" width=\"50%\"><strong>Score<\/strong><\/td>\n<td align=\"center\" width=\"50%\"><strong>Death Rate (%)<\/strong><\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">0-4<\/td>\n<td align=\"center\" width=\"50%\">4<\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">5-9<\/td>\n<td align=\"center\" width=\"50%\">8<\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">10-14<\/td>\n<td align=\"center\" width=\"50%\">15<\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">15-19<\/td>\n<td align=\"center\" width=\"50%\">25<\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">20-24<\/td>\n<td align=\"center\" width=\"50%\">40<\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">25-29<\/td>\n<td align=\"center\" width=\"50%\">55<\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">30-34<\/td>\n<td align=\"center\" width=\"50%\">75<\/td>\n<\/tr>\n<tr>\n<td align=\"center\" width=\"50%\">&gt;34<\/td>\n<td align=\"center\" width=\"50%\">85<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med 1985 Oct;13(10):818-29\u00a0 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3928249\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Mar 13, 2007<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[1928,629,1927,167,995,51,50,1593,226,180,494,507,1375],"class_list":["post-18","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-apache","tag-care","tag-clasificiacion","tag-classification","tag-critical","tag-disease","tag-enfermedad","tag-ii","tag-severidad","tag-severity","tag-sistema","tag-system","tag-uti"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/18","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=18"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/18\/revisions"}],"predecessor-version":[{"id":9389,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/18\/revisions\/9389"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=18"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=18"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=18"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}