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APACHE II

Estimates disease severity and hospital mortality in adults admitted to ICU from 12 physiological variables, age, chronic disease and diagnostic category.

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Method · Limits of application

APACHE II/Knaus 1985: 12 variables; age; chronic disease; oxygenation by FiO₂; diagnosis-specific logistic model

APACHE II from 1985 was associated with hospital mortality in 5815 ICU admissions at 13 hospitals. The prognostic stratification described by the authors combines the score with a precise description of the disease; the total alone does not reproduce that diagnostic information. The collection window, exclusions and applicability outside this population require checking in the full method.

Required fields: 0/18 completed

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years · range 16–110
°C · range 25–45
mmHg · range 20–250
bpm · range 20–250
breaths/min · range 0–80
% · range 21–100
mmHg · range 20–700
mmHg · range 10–150
Numeric value · range 6.5–8
mEq/L · range 90–200
mEq/L · range 1–10
mg/dL · range 0.1–20
% · range 5–75
×10³/µL · range 0.1–200
Numeric value · range 3–15

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Age · years
  • Core temperature · °C
  • Mean arterial pressure · mmHg
  • Heart rate · bpm
  • Respiratory rate · breaths/min
  • FiO₂ · %
  • PaO₂ · mmHg
  • PaCO₂ (required if FiO₂ ≥ 50%) · mmHg
  • Arterial pH
  • Sodium · mEq/L
  • Potassium · mEq/L
  • Creatinine · mg/dL
  • Acute kidney injury?
  • Hematocrit · %
  • White blood cells · ×10³/µL
  • Glasgow Coma Scale
  • Pre-existing severe organ failure or immunosuppression (cirrhosis, NYHA IV, severe COPD, chronic dialysis, immunosuppression)
  • Admission type
  • Principal diagnostic category

4/4 reference cases checked. Numerical tests are not clinical validation.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.

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