NCEMI eTools
Apache II score
APACHE II Severity of Disease Score (ADULTS) - Assessment given is for NON-operative ICU adult patients
Score: 0
~4% death rate
Assessment
0-4
~4% death rate
5-9
~8% death rate
10-14
~15% death rate
15-19
~25% death rate
20-24
~40% death rate
25-29
~55% death rate
30-34
~75% death rate
>34
~85% death rate
Age in years
under 44
0 points
45-54
2 points
55-64
3 points
65-74
5 points
over 74
6 points
History of severe organ insufficiency or immunocompromised?
Yes, and non-operative or emergency post-operative patient
5 points
Yes, and elective post-operative patient
2 points
No
0 points
Rectal Temperature (Celsius)
over 40.9
4 points
39-40.9
3 points
38.5-38.9
1 points
36-38.4
0 points
34-35.9
1 points
32-33.9
2 points
30-31.9
3 points
below 30
4 points
Mean arterial pressure (mmHg)
over 159
4 points
130-159
3 points
110-129
2 points
70-109
0 points
50-69
2 points
below 50
4 points
Heart rate (ventricular response)
over 179
4 points
140-179
3 points
110-139
2 points
70-109
0 points
55-69
2 points
40-54
3 points
below 40
4 points
Respiratory Rate (non-ventilated or ventilated)
over 49
4 points
35-49
3 points
25-34
1 points
12-24
0 points
10-11
1 points
6-9
2 points
below 6
4 points
Oxygenation (use PaO2 if FiO2 < 50%, otherwise use
A-a gradient
)
A-a gradient over 499
4 points
A-a gradient 350-499
3 points
A-a gradient 200-349
2 points
A-a below 200(if FiO2 over 49%) or pO2 more than 70 (if FiO2 less than 50%)
0 points
pO2 = 61-70
1 points
pO2 = 55-60
3 points
pO2 below 55
4 points
Arterial pH
over 7.69
4 points
7.60-7.69
3 points
7.50-7.59
1 points
7.33-7.49
0 points
7.25-7.32
2 points
7.15-7.24
3 points
below 7.15
4 points
Serum sodium (mMol/L)
over 179
4 points
160-179
3 points
155-159
2 points
150-154
1 points
130-149
0 points
120-129
2 points
111-119
3 points
below 111
4 points
Serum potassium (mMol/L)
over 6.9
4 points
6-6.9
3 points
5.5-5.9
1 points
3.5-5.4
0 points
3-3.4
1 points
2.5-2.9
2 points
below 2.5
4 points
Serum Creatinine (mg/100 mL)
over 3.4 and ACUTE renal failure
8 points
2.0-3.4 and ACUTE renal failure
6 points
over 3.4 and chronic
4 points
1.5-1.9 and ACUTE renal failure
4 points
2.0-3.4 and chronic
3 points
1.5-1.9 and chronic
2 points
0.6-1.4
0 points
below 0.6
2 points
Hematocrit (%)
over 59.9
4 points
50-59.9
2 points
46-49.9
1 points
30-45.9
0 points
20-29.9
2 points
below 20
4 points
White blood count (total/cubic mm in 1000's)
over 39.9
4 points
20-39.9
2 points
15-19.9
1 points
3.0-14.9
0 points
1.0-2.9
2 points
below 1.0
4 points
15 minus the
Glasgow Coma Score
Calculate
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