Citation

Rhee KJ, Baxt WG, Mackenzie JR, Willits NH, Burney RE, O'Malley RJ, Reid N, Schwabe D, Storer DL, Weber R. Crit. Care Med. 1990; 18(8): 827-830.

Affiliation

Division of Emergency Medicine, University of California Davis Medical Center, Sacramento 95817.

Copyright

(Copyright © 1990, Society of Critical Care Medicine, Publisher Lippincott Williams and Wilkins)

DOI

unavailable

PMID

2379396

Abstract

The purpose of this study was to measure the predictive power of Acute Physiology and Chronic Health Evaluation (APACHE II) with respect to mortality in a group of seriously injured patients and to compare this predictive power with that of the Trauma Score (TS) and the Injury Severity Score (ISS). Six hundred ninety-one helicopter-transported patients were studied. Individual logistic regressions demonstrated that all three scores had significant predictive power when considered individually (TS chi 2 = 136, p less than .0001; APACHE II chi 2 = 171, p less than .0001; ISS chi 2 = 109, p less than .0001). In addition, each severity score added significantly to the predictive power in a stepwise logistic regression (TS chi 2 = 15, p less than .0001; APACHE II chi 2 = 45, p less than .0001; ISS chi 2 = 15, p less than .0001). Areas under the receiver operating curves for the three scores were not significantly different (TS 0.8116, SD 0.0245; APACHE II 0.8515, SD 0.0204; ISS 0.7967; SD 0.0223). APACHE II is a good predictor of mortality, and its predictive power is complemented by TS and ISS.

Language: en