APACHE II in a postoperative intensive care unit in Thailand.

dc.contributor.authorLertakyamanee, Jen_US
dc.contributor.authorSomprakit, Pen_US
dc.contributor.authorVorakitpokaton, Pen_US
dc.contributor.authorKururattapan, S Aen_US
dc.contributor.authorUdompunturak, Sen_US
dc.contributor.authorPensuk, Sen_US
dc.date.accessioned2009-05-27T20:32:24Z
dc.date.available2009-05-27T20:32:24Z
dc.date.issued1997-03-01en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractIn order to evaluate the effectiveness of an intensive care unit (ICU), the case-mix has to be considered. This was a cohort study. By using Acute Physiology and Chronic Health Evaluation scores (APACHE II score), we evaluated the case-mix and mortality rate of 282 patients who were treated in our postoperative ICU. The overall mortality rate was 10.6 per cent. Higher Acute physiology scores and emergency surgery in the presence of chronic health status were related to higher mortality, but age was not. However, the original APACHE II model could not precisely predict the mortality of Thai patients. We used stepwise logistic regression to determine the predictors of death and found the prediction model to be -7.24 + 0.37 (APACHE II score) + 1.46 (postemergency surgery). The actual mortality for patients with APACHE II score > 15 in our ICU was higher than that predicted by the original APACHE II model. The causes of this difference might be difference in methodology, characteristics of ICU and the quality of care.en_US
dc.description.affiliationDepartment of Anesthesia, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.en_US
dc.identifier.citationLertakyamanee J, Somprakit P, Vorakitpokaton P, Kururattapan SA, Udompunturak S, Pensuk S. APACHE II in a postoperative intensive care unit in Thailand. Journal of the Medical Association of Thailand. 1997 Mar; 80(3): 169-77en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/43182
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAPACHEen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshDiagnosis-Related Groupsen_US
dc.subject.meshHospital Mortalityen_US
dc.subject.meshHumansen_US
dc.subject.meshIntensive Care Units --standardsen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOutcome Assessment (Health Care)en_US
dc.subject.meshPostoperative Care --standardsen_US
dc.subject.meshRegression Analysisen_US
dc.subject.meshThailanden_US
dc.titleAPACHE II in a postoperative intensive care unit in Thailand.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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