Operative decision in American Society of Anesthesiology Physical Status (ASA-PS) V patient is difficult as this group of patients expected to have high mortality rate. Another risk scoring system in this ASA-PS V subset of patients can aid to ease this decision. Data of ASA-PS V classified patients between 2011 and 2013 years in a single hospital were analyzed in this study. Predicted mortalit...

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...

STUDY OBJECTIVES To define risk factors, identifiable on initial presentation, that predict subsequent physiologic derangements that are consistent with critical illness in patients presenting to hospital with GI hemorrhage (GIH). DESIGN Observational, cohort study. SETTING Fourteen-bed medical ICU in a 300-bed community teaching hospital. PATIENTS One hundred ninety-three patients were s...

M e t h o d s Design: Randomized placebo-controlled trial (Administration of Drotrecogin Alfa [Activated] in Early Stage Severe Sepsis [ADDRESS]). Allocation: Unclear allocation concealment.* Blinding: Blinded (investigators and patients).* Follow-up period: Hospital discharge or 90 days. Setting: 516 centers in 34 countries. Patients: 2640 patients (mean age 59 y, 57% men) with severe sepsis (...

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...