Prognostic scoring for critically ill hospitalized patients.
Indian J Chest Dis Allied Sci
;
1999 Oct-Dec; 41(4): 201-6
Artigo
em Inglês
| IMSEAR
| ID: sea-29710
ABSTRACT
The objective of the study was to validate and refine the APACHE II (acute physiology and chronic health evaluation II) prognostic system in the Indian context. We prospectively collected data on 79 patients admitted in the medical intensive care unit. We have studied APACHE II and 11 other physiological variables and sought to improve the risk prediction by developing a new score to be governed by the rule of thumb at the bed side. The new score included the following five variables pH and serum albumin at admission and heart rate, bilirubin and Glasgow coma scale at 48 hours. A score below 3.5 was independently associated with a statistically significant increase in the risk of hospital death. This model resulted in a pseudo r2 of 0.43 in comparison to pseudo r2 of 0.02 and 0.12 for APACHE II scores on the day of admission and after 48 hours, respectively.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Prognóstico
/
Feminino
/
Humanos
/
Masculino
/
Modelos Logísticos
/
Estudos Prospectivos
/
Estudos de Coortes
/
Estado Terminal
/
APACHE
/
Pessoa de Meia-Idade
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Idioma:
Inglês
Revista:
Indian J Chest Dis Allied Sci
Ano de publicação:
1999
Tipo de documento:
Artigo
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