The Quality Assessment of Performance in Intensive Care Units According to APACHE II Score

Abbas Ebadi,Esmaeil Feyzi,Manaf Abdi,Mohammad Hossein Basirat,Roohollah Zaboli,Shahram Tofighi,Sharareh Niakan-Kalhori

doi:10.20286/ijtmgh-0303125

Abstract

Introduction : Improving the health level of patients is one of the most important purposes in intensive care units. In order to promote these units we need to measure their quality. To do so, some standards are needed in this area. The aim of this article was to study the mortality rate of the patients admitted to intensive care units with different APACHE scores. Methods : This descriptive and retrospective study was conducted in Tehran, Iran. The sampling was census and all the patients who had been admitted to the intensive care unit in a hospital in Tehran in 2013 were studied in this study. The overall admitted patients were 350 that only 318 patients had completed the records and were involved in the study. Data was analyzed by using SPSS 15 . Results: Mortality and viability in these two groups were 122 and 196, respectively. Seven out of 68 with scores 20, the mortality rate was 25% which was higher than standard values. Conclusion: According to the obtained results, we can conclude that the quality of care in intensive care units is desirable. It can be said that according to the APACHE system the quality of healthcare is desirable in the Intensive Care Units. As a conclusion, in order to promote quality, more serious care is needed in patients with greater scores.

Highlights

Improving the health level of patients is one of the most important purposes in intensive care units
The mortality rate in the different APACHE scores should be revised in our country and predictions should be based on the results of researches conducted in this area
This study indicated that there is no significant relation between age, gender, length of stay and the diagnosis at admission and mortality of patients admitted to intensive care units

Summary

Introduction

Improving the health level of patients is one of the most important purposes in intensive care units. The aim of this article was to study the mortality rate of the patients admitted to intensive care units with different APACHE scores. The sampling was census and all the patients who had been admitted to the intensive care unit in a hospital in Tehran in 2013 were studied in this study. It can be said that according to the APACHE system the quality of healthcare is desirable in the Intensive Care Units. In order to promote quality, more serious care is needed in patients with greater scores. The need to assess quality of services provided in intensive units and comparing these services with standard ones and using data to improve the care outcomes of patient led to a criterion as Acute Physiology , Age and Chronic Health Evaluation Acute that its acronym is APACHE (Acute Physiology and Chronic Health Evaluation). More than 2 million deaths occur in Intensive Care Units of USA hospitals which can be reduced by more than 30% [2]

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Conclusion