Lefering R, Dicke S, Böttcher B, Neugebauer E
Biochemische und Experimentelle Abteilung, II. Lehrstuhl für Chirurgie, Universität Köln.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1387-9.
The APACHE II score is a well-known measure of illness severity and widely used for prognosis in the ICU. A total of 91 trauma patients were identified among 939 ICU admissions (18 months), and their actual mortality (11/91; 12.1%) clearly exceeds the prognosis due to APACHE II (7.1%). Trauma-specific scores (TRISS, ISS, and RTS) revealed much higher estimates: 13%-22% which confirms a systematic underestimation of risk of death score in trauma patients in the APACHE system.
急性生理学及慢性健康状况评分系统（APACHE II）是一种广为人知的疾病严重程度衡量指标，在重症监护病房（ICU）中广泛用于预后评估。在939例ICU入院患者（18个月期间）中，共识别出91例创伤患者，其实际死亡率（11/91；12.1%）明显超过了APACHE II预测的预后死亡率（7.1%）。创伤特异性评分（创伤和损伤严重度评分（TRISS）、损伤严重度评分（ISS）和修订创伤评分（RTS））显示出更高的死亡率估计值：13%-22%，这证实了APACHE系统对创伤患者死亡风险评分存在系统性低估。
