TIME-DEPENDENT ERROR IN THE APACHE-II SCORING SYSTEM

被引:9
作者
SLEIGH, JW
BROOK, RJ
MILLER, M
机构
[1] MASSEY UNIV,DEPT MATH & STAT,PALMERSTON NORTH,NEW ZEALAND
[2] HARARE HOSP,HARARE,NEW ZEALAND
关键词
INTENSIVE CARE; PREDICTION OF OUTCOME; SCORING SYSTEM; APACHE-II;
D O I
10.1177/0310057X9202000112
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Using the APACHE II scoring system, the risk of death was calculated for 189 patients in the Wanganui Intensive Care Unit and 194 patients in the Harare Intensive Care Unit. Using tables of actual and predicted outcome, the predictive power of the system was compared in patients grouped according to the length of time that they spent in the ICU. The predictive error increased from 15% in those patients staying less than six days, to 38% in those staying six days or more (P < 0.01). The predictive accuracy of the APACHE II system appeared to decrease with the length of time the patient stayed in the Intensive Care Unit.
引用
收藏
页码:63 / 65
页数:3
相关论文
共 7 条
[1]  
CIVETTA JM, 1989, PROBLEMS CRITICAL CA, P681
[2]   ONE YEARS EXPERIENCE WITH THE APACHE-II SEVERITY OF DISEASE CLASSIFICATION-SYSTEM IN A GENERAL INTENSIVE-CARE UNIT [J].
JACOBS, S ;
CHANG, RWS ;
LEE, B .
ANAESTHESIA, 1987, 42 (07) :738-744
[3]   APACHE-II - A SEVERITY OF DISEASE CLASSIFICATION-SYSTEM [J].
KNAUS, WA ;
DRAPER, EA ;
WAGNER, DP ;
ZIMMERMAN, JE .
CRITICAL CARE MEDICINE, 1985, 13 (10) :818-829
[4]  
KNAUS WA, 1988, RECENT ADV CRITICAL, P1
[5]   A METHOD FOR PREDICTING SURVIVAL AND MORTALITY OF ICU PATIENTS USING OBJECTIVELY DERIVED WEIGHTS [J].
LEMESHOW, S ;
TERES, D ;
PASTIDES, H ;
AVRUNIN, JS ;
STEINGRUB, JS .
CRITICAL CARE MEDICINE, 1985, 13 (07) :519-525
[6]   BASIC PRINCIPLES OF ROC ANALYSIS [J].
METZ, CE .
SEMINARS IN NUCLEAR MEDICINE, 1978, 8 (04) :283-298
[7]   OUTCOME PREDICTION MODELS ON ADMISSION IN A MEDICAL INTENSIVE-CARE UNIT - DO THEY PREDICT INDIVIDUAL OUTCOME [J].
SCHAFER, JH ;
MAURER, A ;
JOCHIMSEN, F ;
EMDE, C ;
WEGSCHEIDER, K ;
ARNTZ, HR ;
HEITZ, J ;
KRELLSCHROEDER, B ;
DISTLER, A .
CRITICAL CARE MEDICINE, 1990, 18 (10) :1111-1118