Κατεύθυνση Μονάδες Εντατικής Θεραπείας και Επείγουσα Νοσηλευτική
Library of the School of Health Sciences

2018-02-13

2018

Stamou Konstantina

Γ. Βασιλόπουλος, Επίκουρος Καθηγητής , Τμήμα Νοσηλευτικής, ΤΕΙ Αθήνας
Γ. Τουλιά, Καθηγήτρια Εφαρμογών, τμήμα Νοσηλευτικής, ΤΕΙ Αθήνας
Ο. Καδδά, Νοσηλεύτρια, MSc, PhD

Δείκτης βαρύτητας και ποσοστά θνησιμότητας σε ασθενείς της Μονάδας Εντατικής Θεραπείας.

Greek

Illness Severity Index and mortality rate of patients in Intensive Care Unit.

Introduction: illness severity scores are used in the Intensive Care Unit (ICU) to predict patient outcome, by assessing the effectiveness of intensive care provided.
Aim: of the present study is the assessment of the predictive accuracy and validity of the APACHE II system based on the data of a patient population in a Greek multipurpose ICU.
Material-Method: This retrospective study was performed in 91 patients, in a Greek multipurpose (surgical-pathological) ICU over one year (6 January 2016 - 30 December 2016). The discriminative capability was assessed by determining the area under the ROC curve. Calibration was evaluated with the calibration plot and statistical Hosmer-Lemeshow (ΗS) test.
Results: The average score of the APACHE II in non-surviving (31.3 ± 3.7) was higher than survival (26.9 ± 1.3) with statistically significant value of (p <0.001). The area under the ROC curve was 0.918 (95% ΔΕ: 0.861-0.975, p<0.001) indicating an excellent resolution of the system. The correlation between predicted and observed mortality in the calibration plot and HL test was good (C = 6.57 p = 0.589). There was a negative correlation of the score and the predicted mortality with the length of stay and the length of mechanical ventilation.
Conclusions: The APACHE II prognostic system had excellent discriminative capability and adequately predicted mortality in the particular ICU. There was a statistically significant negative correlation of the score and predicted mortality with the length of stay and the length of mechanical ventilation.

Health Sciences

System score, Illness severity, Outcome, In-hospital mortality

No

0

Yes

48

56

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https://pergamos.lib.uoa.gr/uoa/dl/object/2659645