APACHE III Scoring System을 이용한 중환자실 환자의 평가 = A clinical analysis of intensive care unit patients using APACHE III scoring system

다국어 초록 (Multilingual Abstract)

The object of this study was to investigate the mortality rate and general character of intensive care unit patients and to evaluate the relationship between APACHE Ⅲ score and mortality in critically ill adult ICU patients.
105 ICU patients of K hospital who had been admitted from May 1, 1996 to July 31, 1996 were analyzed using the acute physiology and chronic health evaluation(APACHE) Ⅲ scoring system. This system uses a point score based upon initial values of 16 physiologic measurements, age and chronic health evaluation.
The results were as follows.
(1) There were 41 open heart surgery cases, 30 multiple trauma cases, 17 malignant tumor resection cases, 12 sepsis cases, 2 aortic disease cases and 3 others.
(2) The overall mortality rate of 105 ICU patients was 9.5%. All patients with an APACHE Ⅲ score above 110 died and nobody died with a score below 60 points.
(3) The average points of survivors was 44.86±15.65 and of nonsurvivors was 95.80±29.10. The difference between each group was significant statistically(p＜0.001).
(4) There was a close relationship between mortality rate and APACHE Ⅲ scores. With an increase in APACHE Ⅲ score, the increased hospital death rate was observed.
APACHE Ⅲ scoring system is a useful method to predict the mortality rate in ICU adult patients and can be used for selection of patients and for ICU admission/discharge. It can also be used to compare the efficacy of intensive care in different hospitals.