Artículo
Sistemas de evaluación de gravedad : APACHE II SAPS. Experiencia nacional en una unidad de terapia intensiva médica
Severity evaluation system : APACHE II, SAPS. National experience in a unit of medical intensive therapy
Autor
Dougnac, A.
Arriagada, D.
Andresen, M.
Pérez, C.
Alvarez, M.
González, F.
Tagle, R.
Institución
Resumen
We evaluated 2 new prognostic indices, APACHE II and SAPS, in 533 consecutive patients admitted to a general hospital clinical care unit. Mortality was 19.5% (13.1% in the ICU). Among non-survivors 80% had a greater than = 20 APACHE II score and 77% a greater than = 13 SAPS score. Only 2% of patients with APACHE score less than 10 or SAPS less than 7 died. A good correlation with previously used indices (APACHE I and TISS) was 0.6. Utilization of these prognostic indices allows comparison of reports from different centers, evaluation of early and long term prognosis and a help in making cost-benefit decisions.