Source: Annual Congress 2001 - Monitoring acute lung disease
Disease area: Respiratory critical care

Abstract

The aims of this study are to compare the efficacies of Acute Physiology and Chronic Health Evaluation (APACHE) II and Simplified Acute Physiology Score (SAPS) II in respiratory intensive care unit (ICU).
The study was carried out between January 1999 and December 2000 in the respiratory ICU in the Department of Chest Diseases, Osmangazi University Faculty of Medicine in Eskisehir, Turkey. Two hundred and eighty patients were included our study and total of 263 patient's data were available for analysis.
For all respiratory ICU patients, laboratory and physiologic parameters, APACHE II and SAPS II scores which were based on the data at the first 24 hours after ICU admission, and also patients outcome were recorded prospectively. The mean age was found 60.8 years. The rude mortality rate of our ICU was calculated as 44.6%. The mean APACHE II and SAPS II scores were found 24,1±]0,5 and 36.1±]0,7 respectively. According to the APACHE II and SAPS II scores, predicted mortality rates were found 40,6% and 44,6% respectively. SAPS II score showed better performance than APACHE II in determining mortality rate. APACHE II and SAPS II scores and predicted death rates were higher in nonsurvivors than in survivors (p<0,001). The sensitivity, specificity, and accuracy of APACHE II scoring system (cut off level>=30) for mortality was found 72%, 62%, 67%, respectively. The sensitivity, specificity, and accuracy of SAPS II scoring system (cut off level>=36) was found 65%, 72%, 69%, respectively.
The results of this study suggest that using of SAPS II score is a higher performance than APACHE II in determining predicted mortality rates in respiratory ICU.

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I. Ucgun, M. Metintas, M. Kolsuz, H. Moral, Y. Bektas, S. Erginel, E. Harmanci, F. Alatas (Eskisehir, Turkey). Comparison of the acute physiology and chronic health evaluation (APACHE) II and simplified acute physiology score (SAPS) II systems in a respiratory intensive care unit, in Eskisehir, Turkey. Eur Respir J 2001; 16: Suppl. 31, 1644

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