Correlation between APACHE II Score and Mortality Rate in PKU Gamping Hospital ICU patients

Authors

  • Yosy Budi Setiawan Universitas Muhammadiyah Yogyakarta
  • Dito Mahardika Prambudi Universitas Muhammadiyah Yogyakarta, Indonesia

DOI:

https://doi.org/10.59888/ajosh.v1i11.108

Keywords:

APACHE II score, ICU, Mortality Rate

Abstract

The intensive care system have a duty to help patients in healing process and not to delay patient’s death. Therefore many scoring methods was developed to predict the outcome of care and mortality rate in the ICU. One of those methods is APACHE II that scores 12 physiological variables and pre-existing conditions in the patients. This research was done to find the correlation between APACHE II score and mortality rate of PKU Gamping hospital ICU patients. The data used medical records for 61 non-operative patients from June-December 2019. This research found that 37 (60.6%) died and 24 (39.4%) lived after treatment. The average APACHE II score was 21.28 with the lowest score of 3 and the highest score of 43, after the data gathering a correlation test was conducted using Spearman-correlation test. In the data analysis p value of  0.000 (p<0.05) and correlation coefficient of .698 was found. there was a significant correlation between the APACHE II score and the mortality rate of the PKU Gamping hospital ICU patients, where with higher number of score there was higher number of patient’s death.

References

Armiati, H., Arifin, J., & Saktini, F. (2014). Hubungan APACHE II score dengan angka kematian pasien di ICU RSUP DR. Kariadi. Faculty of Medicine Diponegoro University.

Brahmi, N. H., Soesilowati, D., & Pujo, J. L. (2016). Validitas Skor Apache II, MSofa, dan SAPS 3 terhadap Mortalitas Pasien Non Bedah di perawatan Intensif dewasa RSUP dr Kariadi Semarang. JAI (Jurnal Anestesiologi Indonesia), 8(3), 164–177.

Knaus, W. A., Draper, E. A., Wagner, D. P., & Zimmerman, J. E. (1985). APACHE II: a severity of disease classification system. Critical Care Medicine, 13(10), 818–829.

Lee, C. K., & Rainer, T. H. (n.d.). Application of APACHE II in the assessment, classification of severity and predictive ability of Chinese patients presenting to an emergency department resuscitation room.

Mitchell, I., & Peake, R. (2005). Churchill’s Pocket Books-Intensive Care. Anaesthesia and Intensive Care, 33(2), 281.

Nagar, V. S., Sajjan, B., Chatterjee, R., & Parab, N. M. (2019). The comparison of apache II and apache IV score to predict mortality in intensive care unit in a tertiary care hospital.

Naqvi, I. H., Mahmood, K., Ziaullaha, S., Kashif, S. M., & Sharif, A. (2016). Better prognostic marker in icu-apache ii, sofa or sap ii! Pakistan Journal of Medical Sciences, 32(5), 1146.

Naved, S. A., Siddiqui, S., & Khan, F. H. (2011). APACHE-II score correlation with mortality and length of stay in an intensive care unit. Journal of the College of Physicians and Surgeons Pakistan, 21(1), 4.

Parajuli, B. D., Shrestha, G. S., Pradhan, B., & Amatya, R. (2015). Comparison of acute physiology and chronic health evaluation II and acute physiology and chronic health evaluation IV to predict intensive care unit mortality. Indian Journal of Critical Care Medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 19(2), 87.

Rapsang, A. G., & Shyam, D. C. (2014). Scoring systems in the intensive care unit: a compendium. Indian Journal of Critical Care Medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 18(4), 220.

Saleh, A., Ahmed, M., Sultan, I., & Abdel-Lateif, A. (2015). Comparison of the mortality prediction of different ICU scoring systems (APACHE II and III, SAPS II, and SOFA) in a single-center ICU subpopulation with acute respiratory distress syndrome. Egyptian Journal of Chest Diseases and Tuberculosis, 64(4), 843–848.

Wibowo P, Sugiman T, T. O. (n.d.). Validasi Sistem Skor APACHE II dan SAPS II di ICU Rumah Sakit Cipto Mangunkusumo Jakarta. Majalah Kedokteran Terapi Intensif ., 1 : 65-69.

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Published

2023-08-20

Issue

Vol. 1 No. 11 (2023): Asian Journal of Social and Humanities

Section

Articles

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Copyright (c) 2023 Yosy Budi Setiawan, Dito Mahardika Prambudi

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