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
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