BACKGROUND AND AIMS Risk and prognostic scores quantify the patient's risk of death or complication according to the severity of his illness. The aim of this study was to evaluate the predictive accuracy of O-POSSUM vs ASA and APACHE II models on patients undergoing oesophageal surgery. MATERIAL AND METHOD In this observational retrospective study 55 patients were enrolled who had undergone s...

At least 5% of all intensive care unit patients require prolonged respiratory support. Multiple factors have been suggested as possible predictors of successful respiratory weaning so far. We sought to verify whether the Acute Physiology and Chronic Health Evaluation II (APACHE II) can predict freedom from prolonged mechanical ventilation (PMV) in patients treated in a regional weaning centre. ...

Objectives The aim of this study was to compare the discriminatory power of two prognostic scores, SAPS 3 and APACHE II, in surgical patients. Methods Retrospectively collected data from all surgical patients admitted to a Brazilian hospital ICU between January 2011 and December 2013 were analyzed. The standardized mortality ratio (SMR) was computed for mortality prediction. The predictive abil...

The Acute Physiology and Chronic Health Evaluation System (APACHE II) was used in 451 patients admitted to the intensive care unit, Belfast City Hospital, in 1988 and 1989. Mortality in the patients studied was 15.5% which is slightly less than that predicted for patients with equal severity of disease (18.8%). Within the limitations discussed the APACHE II system has valuable potential both in...

BACKGROUND Ventilator-associated pneumonia (VAP) is the leading cause of mortality associated with nosocomial infection. The Acute Physiology and Chronic Health Evaluation II (APACHE II) score at the time of diagnosis of VAP is considered the best scoring system to predict mortality in patients with VAP. The objective of this study was to develop a simple score to predict mortality in patients ...

Stress-induced hyperglycemia (SIH) has been independently associated with an increased risk of mortality in critically ill patients without diabetes. However, it is also necessary to consider preexisting hyperglycemia when investigating the relationship between SIH and mortality in patients with diabetes. We therefore assessed whether the gap between admission glucose and A1C-derived average gl...

BACKGROUND prognostic scores have been validated in cirrhotic patients admitted to general Intensive Care Units. No assessment of these scores was performed in cirrhotics admitted to specialized Gastroenterology Intensive Care Units (GICUs). AIM to assess the prognostic accuracy of Acute Physiology and Chronic Health Evaluation (APACHE) II, Simplified Acute Physiology Score (SAPS) II, Sequent...

Severe community-acquired pneumonia (CAP) is an important cause of intensive care unit (ICU) admissions. Many different pneumonia scoring systems have been developed in order to assess the severity of pneumonia and to decide the ICU follow-up and treatment. But still debate is going on about their performances and also they have not been tested yet if they can predict ICU mortality in severe CA...

BACKGROUND There are several scoring systems used in the prediction of outcome in critically ill patients. This study was undertaken to evaluate APACHE II, SAPS I, Sepsis score, MOF, TISS-28 and MPI scoring systems in prediction of the outcome in patients with perforative peritonitis. PATIENTS AND METHODS The prospective study of 145 patients of both sexes with perforative peritonitis was per...

In a recent issue of the Journal of Clinical Microbiology, Bouza et al. provided interesting insight into the putative effect that the volume of blood cultured per patient had upon the rate of detection of bloodstream infections (BSI) (1). According to the authors, in the total of the sample, the volume of blood cultured was not an independent predictor capable of affecting blood culture result...