File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Evaluation of the performance of a modified Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system for critically ill patients in emergency departments in Hong Kong

TitleEvaluation of the performance of a modified Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system for critically ill patients in emergency departments in Hong Kong
Authors
KeywordsResuscitation
Mortality prediction
Critical condition
Issue Date2007
Citation
Resuscitation, 2007, v. 74, n. 2, p. 259-265 How to Cite?
AbstractIntroduction: Numerous prognostic predictive models have been developed for critically ill patients, many of which are primarily designed for use in intensive care units. The objective of this study was to evaluate the accuracy of a modified Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system in predicting the mortality for critically ill patients managed in emergency department (ED) resuscitation rooms in Hong Kong. Method: A multi-centre, prospective study was conducted for patients managed in the resuscitation rooms of the EDs of four major hospitals, including one university teaching hospital. The primary outcome measure was 14 day all-cause mortality and the secondary outcome measure was the length of stay in hospital. Results: Of 867 patients recruited between 4 and 30 April 2004, 106 (12.2%) patients died. The modified APACHE II score was found to be significantly higher in non-survivors compared to survivors (mean ± S.D.: 21.2 ± 7.7 versus 14.4 ± 7.1, p < 0.001). The area under the curve for modified APACHE II in predicting mortality was 0.743 (95% CI, 0.696-0.790). Conclusion: The modified APACHE II score is only a moderate predictor of mortality for critically ill patients managed in the resuscitation rooms of EDs in Hong Kong. A more ED specific scoring method is required. © 2007 Elsevier Ireland Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/292612
ISSN
2023 Impact Factor: 6.5
2023 SCImago Journal Rankings: 2.363
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMan, Shin Yan-
dc.contributor.authorChan, Ka Man-
dc.contributor.authorWong, Fung Yi-
dc.contributor.authorWong, Kit Yi-
dc.contributor.authorYim, Chi Lap-
dc.contributor.authorMak, Paulina S.K.-
dc.contributor.authorKam, Chak Wah-
dc.contributor.authorLau, Chor Chiu-
dc.contributor.authorLau, Fei Lung-
dc.contributor.authorGraham, Colin A.-
dc.contributor.authorRainer, Timothy H.-
dc.date.accessioned2020-11-17T14:56:51Z-
dc.date.available2020-11-17T14:56:51Z-
dc.date.issued2007-
dc.identifier.citationResuscitation, 2007, v. 74, n. 2, p. 259-265-
dc.identifier.issn0300-9572-
dc.identifier.urihttp://hdl.handle.net/10722/292612-
dc.description.abstractIntroduction: Numerous prognostic predictive models have been developed for critically ill patients, many of which are primarily designed for use in intensive care units. The objective of this study was to evaluate the accuracy of a modified Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system in predicting the mortality for critically ill patients managed in emergency department (ED) resuscitation rooms in Hong Kong. Method: A multi-centre, prospective study was conducted for patients managed in the resuscitation rooms of the EDs of four major hospitals, including one university teaching hospital. The primary outcome measure was 14 day all-cause mortality and the secondary outcome measure was the length of stay in hospital. Results: Of 867 patients recruited between 4 and 30 April 2004, 106 (12.2%) patients died. The modified APACHE II score was found to be significantly higher in non-survivors compared to survivors (mean ± S.D.: 21.2 ± 7.7 versus 14.4 ± 7.1, p < 0.001). The area under the curve for modified APACHE II in predicting mortality was 0.743 (95% CI, 0.696-0.790). Conclusion: The modified APACHE II score is only a moderate predictor of mortality for critically ill patients managed in the resuscitation rooms of EDs in Hong Kong. A more ED specific scoring method is required. © 2007 Elsevier Ireland Ltd. All rights reserved.-
dc.languageeng-
dc.relation.ispartofResuscitation-
dc.subjectResuscitation-
dc.subjectMortality prediction-
dc.subjectCritical condition-
dc.titleEvaluation of the performance of a modified Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system for critically ill patients in emergency departments in Hong Kong-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.resuscitation.2006.12.015-
dc.identifier.pmid17379379-
dc.identifier.scopuseid_2-s2.0-34347391659-
dc.identifier.volume74-
dc.identifier.issue2-
dc.identifier.spage259-
dc.identifier.epage265-
dc.identifier.isiWOS:000251286100010-
dc.identifier.issnl0300-9572-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats