Failure of APACHE II alone as a predictor of mortality in patients receiving total parenteral nutrition
| Autor: | C L Taaffe, V M Herrmann, A W Hopefl |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Adult
Male Icu patients Pediatrics medicine.medical_specialty Resuscitation Adolescent Critical Care Apache II score Critical Care and Intensive Care Medicine Severity of Illness Index Humans Medicine In patient Prospective Studies Mortality Aged Aged 80 and over APACHE II business.industry Length of Stay Middle Aged United States Icu admission Parenteral nutrition Health evaluation Anesthesia Female Parenteral Nutrition Total business |
| Zdroj: | Critical Care Medicine. 17:414-417 |
| ISSN: | 0090-3493 |
| DOI: | 10.1097/00003246-198905000-00007 |
| Popis: | We followed prospectively over 5 months all medical and surgical ICU patients placed on total parenteral nutrition (TPN) and recorded their Acute Physiology and Chronic Health Evaluation II (APACHE II) scores on the day of admission, on the day TPN was started, length of time in ICU before TPN was started, and the number of days TPN was administered. Sixty-one patients (15 to 82 yr) had an inhospital mortality of 47%. The APACHE II score was significantly higher for nonsurvivors vs. survivors both on the day of admission (24.4 +/- 9.6 vs. 18.4 +/- 6.5; p less than .003) and also on the day TPN was started (21 +/- 8.6 vs. 16.4 +/- 5.6; p less than .002). However, at a 60% risk of dying, specificity was 96.9% and sensitivity 27.6%. The mean number of days before TPN was started was 3.2 and mean number of days on TPN was 9.2 (p = NS). We conclude that calculation of APACHE II score either on ICU admission or on the day TPN is considered does not seem useful in identifying patients who will not benefit from TPN. |
| Databáze: | OpenAIRE |
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