A STUDY ON PERFORMANCE EVALUATION OF APACHE SCORE WITH ADMISSION RESOURCE IN MICU TO PREDICT THE HOSPITAL MORTALITY AT ONE OF THE MULTISPCILAITY HOSPITAL, BANGALORE

Abstract

Realizing the utility of scoring systems in mortality prediction of critical ill patient admitted to medical intensive care units (MICUs), studies worldwide have expressed a need to validate the Acute Physiology and Chronic Health Evaluation (APACHE) II score for databases of respective countries. Literature available in this area in the Indian context is scanty. The present study was undertaken to evaluate of quality of patient care in MICU in terms of APACHE score in predication of mortality risk, as well as in determination of model validity in critically ill patients in MICU. The study was prospectively carried out 2 months at MICU of a tertiary Institute in Bangalore, which admitted consecutive medical and surgical patients. Based on admission resource of MICU admission, a widely used ICU prognostic scoring model, the Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring system has been recognized. It has shown to be an accurate measurement of patient severity and correlates strongly with outcome in critical patients. Nonetheless, the qualified systematic database indicating APACHE II score, i.e. patient diagnosis, clinical condition, scientific parameters and laboratory values could hardly be established in routine. Key Words: APACHE Score, MICU (Medical Intensive Care Units), Mortality, Critical Patients, Prediction.