Research Information System
V. Uluslararası Sağlıkta Performans ve Kalite Kongresi, Antalya, Turkey, 20 - 22 November 2014, vol.2, pp.73-82, (Full Text)
Abstract
We aimed to compare the mortality discriminating power of SAPS II and
APACHE II scoring systems in patients of Anesthesiology and Reanimation
unit in Eskisehir Yunus Emre Government Hospital. Patients (n=69) who were
treated in intensive care unit for more than 24 hours were enrolled into the
study. Their cards were analyzed retrospectively. APACHE II and SAPS scores,
expected mortality rates and standardized mortality rates of patients were
calculated according to the physiologic data deviating from normal values over
the first 24 hours. The discriminative powers of the scores for mortality of were
evaluated by ROC analysis and the sensitivity, specificity, and cut-off values were
determined. The demographic findings, intensive care unit length of stay, need
for mechanical ventilation, mechanical ventilation time, post-CPR status, services
that they were transferred to Intensive Care Unit, diagnosis are recorded, and the
difference between alive and death patients were measured. Discriminative power
of the two scoring systems for mortality did not differ significantly. However, for
the designated cut-off values, APACHE II was very sensitive for distinguishing
the level of mortality (94.44%); and SAPS II was sensitive (78.79%). SMO value
of APACHE II (0.92) was lower than, SAPS II (1.19). We concluded that using
APACHE II score system in Intensive Care Unit is more convenient over SAPS II,
due to high sensitive predictability for mortality and good SMO levels.
Key Words: Mortality, APACHE II, Reanimation Intensive Care Unit