APACHE II Scoring System by Diagnosis

 
Input
 
Admit Dx
Nonoperative patients:: ()
Temp
36-38.4 (0)
MAP
70-109 (0)
HR
70-109 (0)
RR
12-24 (0)
A aPO2
<200 or PaO2 >70 (0)
pH CO2
7.33-7.49 ; 22-31.9 (0)
Na
130-149 (0)
K
3.5-5.4 (0)
Creat
0.6-1.4 (0)
HCT
30-45.9 (0)
WBC
3-14.9 (0)
Age
≤44 (0)
Chronic Dx
No (0)
Emerg Surg No (0)

Yes (0.603)
Glasgow    

 
Results
 
 
Score  
Log OR  
Odds Ratio  
Mortality  
 
Decimal Precision  
 
Notes
  • For postoperative patients admitted to the ICU for sepsis or postarrest, use the corresponding weights for nonoperative patients.
  • Chronic Health Problems: 1) Biopsy-proved liver cirrhosis 2) New York Heart Association Class IV 3) Severe COPD (eg. Hypercapnia, home O2, pulmonary Hypertension) 4) Chronic dialysis or 5) Immunocompromised.

 
Equations used
 
Score = Temp + MAP + HR + RR + AaPO2 + pHCO2 + Na + K + Creat + HCT + WBC + 15 - Glasgow + Age + ChronicDx
LogOR = -3.517 + (Score * 0.146) + EmergSurg + AdmitDx
OddsRatio = e(LogOR)
Mortality = 100 * OddsRatio / ( 1 + OddsRatio )

 

 
Calculation Details and Variables
  • Equation parameters such as Emerg Surg, have two or more discrete values that may be used in the calculation. The numbers in the parentheses, e.g. (0), represent the values that will be used.

 
References
  1. Knaus WA, et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985 Oct;13(10):818-29. PubMed ID: 3928249 PubMed Logo

 

 
 

 
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