摘要
APACHE（急性生理学、年龄及既往健康状况）预测评分系统，由Knaus等提出，后经反复临床筛选、修订，先后又提出了APACHEⅡ和APACHEⅢ。主要内容包括患者入ICU后24小时内的最不正常时的急性生理学参数计分（APS）、年龄计分（YS）及既往健康计分（CPS）；并在此计分基础上，按死亡风险预测方程，计算出死亡概率。死亡预测方程：Ln（R／1－R）＝－3．517＋APS×0．146＋0．603×急诊手术＋慢性疾病计分这一评分系统，特别是APACHEⅢ系统，经临床验证，表明该系统对临床患者治疗方案的制订、新药评价、不同ICU间医疗质量的评估，并对医疗科研工作均有很大帮助。因此，是一个值得大力推荐的评分法。
In this paper, APACHE system, a scoring system for assessing severity of critically ill patients in ICU, was reviewed. APACHE system (acute physiology. age and chronic health status) was first proposed by Knaus in 1981 and has been for times evaluated and revised in clinical trials. APACHE Ⅱ, afterwards APACHE Ⅲ, scoring systems were eventually established and adopted widely in emergency medical care. The variables selected for scoring include the worst acute physiology score (APS)in the initial 24 hrs after admission to ICU, age score (YS) and chronic health score. Based on these parameters a mortality prediction equation is used to calculate the mortality probability. The equation is Ln (R/1 -R) = - 3. 517 + APS× 0. 146 + 0. 603× emergency operation + chronic disease scores. This scoring system, especially APACHEⅢ,has been proved in clinical use very helpful in therapy decision-making, new drug evaluation, assessment of clinical quality of medical care between ICUs,as well as in scientific research. It is,therefore,a highly recommended scoring system.
出处
《急诊医学》
CSCD
1995年第4期195-202,共8页
关键词
危重病
严重程度
预测评分系统
年龄
既往健康
severity of critical disease scoring system for assessment acute physiology score age score chronic health score mortality probability
