Waters M, Nightingale P, Edwards J D
Department of Accident and Emergency Medicine, University Hospital of South Manchester, England.
Arch Emerg Med. 1990 Mar;7(1):16-20. doi: 10.1136/emj.7.1.16.
The APACHE II severity of illness scoring system was prospectively studied on 756 patients admitted to a general intensive care unit (ICU) from January 1986 to June 1988. Admission data were used. Individual and group risk of death were calculated for 3 diagnostic categories commonly seen in the A&E department and requiring admission to an ICU. The APACHE II score on admission tended to underestimate the risk of death following operative and non-operative trauma, and self-poisoning. This may have been related to the use of an analysis not yet validated against values obtained on admission to ICU. Such validation is urgently needed on a UK population if APACHE II scoring is to be of value in the A&E department.
对1986年1月至1988年6月期间入住综合重症监护病房（ICU）的756例患者前瞻性地研究了急性生理与慢性健康状况评分系统（APACHE II）。使用入院数据。计算了急诊部常见且需入住ICU的3种诊断类别的个体和群体死亡风险。入院时的APACHE II评分往往低估了手术和非手术创伤以及自我中毒后的死亡风险。这可能与使用尚未根据入住ICU时获得的值进行验证的分析方法有关。如果APACHE II评分要在急诊部有价值，那么英国人群迫切需要进行这种验证。
