APACHE II SCORING SYSTEM - DOC

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					                                                                                                    APACHE III SCORING SYSTEM
         A: acute physiological score
                23     20      17     16       15      13      8       7       6        5       3        2        0         +1         4         5        6        7         9       10      11        13       14      17      18

Heart Rate                                                    <39                     40-49                     50-99     100-109              110-119           120-139                             140-154           >=155

MBP             <39                           40-49                   60-69   70-79                             80-99               100-119                      120-129   130-139 >=140

Temperature           <=32.9         33-33.           33.5-3 34-34.                                    35-35.   36-39.9              >=40                                                             29.9

                                       4               3.9     9                                         9

RR                             <=5                            6-11    12-13                                     12-24                                    25-34              35-39           40-49                              >=50

PaO2, if FiO2                                 <=49                                    50-69            70-79     >=80

< 0.5

AaDO2, if                                                                                                        >=80                                            100-249   250-349         350-499             >=500

FiO2 ≥ 0.5

Hct                                                                                           <=40.9            41-49

WBC                   <1000                                                           1000-                     3000-     20000-               >25000                                                  <1

                                                                                      2900                      19900     24900

Cre                                                                                           <=0.4             0.5-1.4             1.5-1.94                      >1.95

Urine Output                                  <=399           400-    600-            900-                      2000-     >=4000     1500-

                                                              599     899             1490                       3999                1999

BUN                                                                                                    17-19    <=16.9                                            20-39                     40-79     >80
     +
Na                                                                                            <=119 120-134 135-145                 >=155

Albumin                                                                       2-2.4                             2.5-4.4              >=4.5                                                  <=1.9

Bilirubin                             >=8                    5-8.0                                              <=1.9                           2-2.9    3-4.9

Glucose                                                      <=39                     >=350    200-             60-199                          >350                        40-59

                                                                                               349
                                                       pCO2<25 25-<30   30-<35         35-<40 40-<45 45-<50 50-<55 55-<60 >=60
B: Age adjustment
                                           pH <7.15
Age                            Score
                                           7.15-<7.2                          12                                      4
<45                             0
                                          7.20-<7.25
45-59                           5
                                          7.25-<7.30                           6                   3                  2
60-64                           11
                                          7.30-<7.35          9
65-69                           13
                                          7.35-<7.40
70-74                           16
                                          7.40-<7.45                               0                              1
75-84                           17
                                          7.45-<7.50          5           0                 2
>84                             24
                                          7.50-<7.55
                                          7.55-<7.60

C: chronic health adjustment              7.60-<7.65      0               3                                  12

                                 Score       >=7.65

AIDS                                 23
Hepatic Failure                      16
Lymphoma                             13
Metastatic carcinoma                 11
Leukemia/multiple myeloma            10
Immune compromised                   10
Proven cirrhosis                     4
Eye open spontaneously
verbal                                                                inappropriate
                                                                         words,
                            oriented,                                   incomp.       no response
motor                     converses (5)   confused conversation (4)   sounds (3,2)        (1)
obeys verbal

commands (6)                   0                     3                     10             15

localizes pain (5)             3                     8                     13             15
flexion

withdrawal/decorticate

rigidity (4,3)                 3                     13                    24             24

decerebrate rigidity/no

response (2,1)                 3                     13                    29             29
Eye do not open spontaneouly
verbal                                                                inappropriate
                                                                         words,
                            oriented,                                   incomp.       no response
motor                     converses (5)   confused conversation (4)   sounds (3,2)        (1)
obeys verbal

commands (6)                                                                              16

localizes pain (5)                                                                        16
flexion

withdrawal/decorticate

rigidity (4,3)                                                             24             33
decerebrate rigidity/no

response (1)                                                               29             48