Severity and prognosis in intensive care: prospective application of the Apache II Index

CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OB...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Joel Isidoro Costa [verfasserIn] José Luiz Gomes do Amaral [verfasserIn] Masashi Munechika [verfasserIn] Yara Juliano [verfasserIn] José Gomes Bezerra Filho [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	1999

Schlagwörter:	Severity Mortality Intensive Care APACHE II

Übergeordnetes Werk:	In: São Paulo Medical Journal - Associação Paulista de Medicina, 2016, 117(1999), 5, Seite 205-214
Übergeordnetes Werk:	volume:117 ; year:1999 ; number:5 ; pages:205-214

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1590/S1516-31801999000500005

Katalog-ID:	DOAJ072880139

Internformat


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allfields	10.1590/S1516-31801999000500005 doi (DE-627)DOAJ072880139 (DE-599)DOAJc881ebfccb87432a93e605e53fa832cb DE-627 ger DE-627 rakwb eng Joel Isidoro Costa verfasserin aut Severity and prognosis in intensive care: prospective application of the Apache II Index 1999 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition. Severity Mortality Intensive Care APACHE II Medicine R José Luiz Gomes do Amaral verfasserin aut Masashi Munechika verfasserin aut Yara Juliano verfasserin aut José Gomes Bezerra Filho verfasserin aut In São Paulo Medical Journal Associação Paulista de Medicina, 2016 117(1999), 5, Seite 205-214 (DE-627)324825102 (DE-600)2031087-0 18069460 nnns volume:117 year:1999 number:5 pages:205-214 https://doi.org/10.1590/S1516-31801999000500005 kostenfrei https://doaj.org/article/c881ebfccb87432a93e605e53fa832cb kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000500005&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-9460 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 117 1999 5 205-214
spelling	10.1590/S1516-31801999000500005 doi (DE-627)DOAJ072880139 (DE-599)DOAJc881ebfccb87432a93e605e53fa832cb DE-627 ger DE-627 rakwb eng Joel Isidoro Costa verfasserin aut Severity and prognosis in intensive care: prospective application of the Apache II Index 1999 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition. Severity Mortality Intensive Care APACHE II Medicine R José Luiz Gomes do Amaral verfasserin aut Masashi Munechika verfasserin aut Yara Juliano verfasserin aut José Gomes Bezerra Filho verfasserin aut In São Paulo Medical Journal Associação Paulista de Medicina, 2016 117(1999), 5, Seite 205-214 (DE-627)324825102 (DE-600)2031087-0 18069460 nnns volume:117 year:1999 number:5 pages:205-214 https://doi.org/10.1590/S1516-31801999000500005 kostenfrei https://doaj.org/article/c881ebfccb87432a93e605e53fa832cb kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000500005&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-9460 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 117 1999 5 205-214
allfields_unstemmed	10.1590/S1516-31801999000500005 doi (DE-627)DOAJ072880139 (DE-599)DOAJc881ebfccb87432a93e605e53fa832cb DE-627 ger DE-627 rakwb eng Joel Isidoro Costa verfasserin aut Severity and prognosis in intensive care: prospective application of the Apache II Index 1999 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition. Severity Mortality Intensive Care APACHE II Medicine R José Luiz Gomes do Amaral verfasserin aut Masashi Munechika verfasserin aut Yara Juliano verfasserin aut José Gomes Bezerra Filho verfasserin aut In São Paulo Medical Journal Associação Paulista de Medicina, 2016 117(1999), 5, Seite 205-214 (DE-627)324825102 (DE-600)2031087-0 18069460 nnns volume:117 year:1999 number:5 pages:205-214 https://doi.org/10.1590/S1516-31801999000500005 kostenfrei https://doaj.org/article/c881ebfccb87432a93e605e53fa832cb kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000500005&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-9460 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 117 1999 5 205-214
allfieldsGer	10.1590/S1516-31801999000500005 doi (DE-627)DOAJ072880139 (DE-599)DOAJc881ebfccb87432a93e605e53fa832cb DE-627 ger DE-627 rakwb eng Joel Isidoro Costa verfasserin aut Severity and prognosis in intensive care: prospective application of the Apache II Index 1999 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition. Severity Mortality Intensive Care APACHE II Medicine R José Luiz Gomes do Amaral verfasserin aut Masashi Munechika verfasserin aut Yara Juliano verfasserin aut José Gomes Bezerra Filho verfasserin aut In São Paulo Medical Journal Associação Paulista de Medicina, 2016 117(1999), 5, Seite 205-214 (DE-627)324825102 (DE-600)2031087-0 18069460 nnns volume:117 year:1999 number:5 pages:205-214 https://doi.org/10.1590/S1516-31801999000500005 kostenfrei https://doaj.org/article/c881ebfccb87432a93e605e53fa832cb kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000500005&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-9460 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 117 1999 5 205-214
allfieldsSound	10.1590/S1516-31801999000500005 doi (DE-627)DOAJ072880139 (DE-599)DOAJc881ebfccb87432a93e605e53fa832cb DE-627 ger DE-627 rakwb eng Joel Isidoro Costa verfasserin aut Severity and prognosis in intensive care: prospective application of the Apache II Index 1999 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition. Severity Mortality Intensive Care APACHE II Medicine R José Luiz Gomes do Amaral verfasserin aut Masashi Munechika verfasserin aut Yara Juliano verfasserin aut José Gomes Bezerra Filho verfasserin aut In São Paulo Medical Journal Associação Paulista de Medicina, 2016 117(1999), 5, Seite 205-214 (DE-627)324825102 (DE-600)2031087-0 18069460 nnns volume:117 year:1999 number:5 pages:205-214 https://doi.org/10.1590/S1516-31801999000500005 kostenfrei https://doaj.org/article/c881ebfccb87432a93e605e53fa832cb kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000500005&lng=en&tlng=en kostenfrei https://doaj.org/toc/1806-9460 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 117 1999 5 205-214
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author	Joel Isidoro Costa
spellingShingle	Joel Isidoro Costa misc Severity misc Mortality misc Intensive Care misc APACHE II misc Medicine misc R Severity and prognosis in intensive care: prospective application of the Apache II Index
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topic_title	Severity and prognosis in intensive care: prospective application of the Apache II Index Severity Mortality Intensive Care APACHE II
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title	Severity and prognosis in intensive care: prospective application of the Apache II Index
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title_full	Severity and prognosis in intensive care: prospective application of the Apache II Index
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author_browse	Joel Isidoro Costa José Luiz Gomes do Amaral Masashi Munechika Yara Juliano José Gomes Bezerra Filho
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title_sort	severity and prognosis in intensive care: prospective application of the apache ii index
title_auth	Severity and prognosis in intensive care: prospective application of the Apache II Index
abstract	CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition.
abstractGer	CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition.
abstract_unstemmed	CONTEXT: The performance of each ICU needs to be assessed within the overall context of medical care, as well as by the institution which the ICU forms part of. Evaluation mechanisms in the field of intensive care have been developed that are recognized worldwide within the scientific literature. OBJECTIVE: To study outcomes from groups of critical patients and to compare their actual and estimated mortality rates. DESIGN: Prospective study of patients' outcomes. SETTING: A tertiary care unit for a period of 13 months (anesthesiology intensive care unit at the Escola Paulista de Medicina). PARTICIPANTS: 520 patients selected according to sex, age and nature of hospitalization. DIAGNOSTIC TEST: The modified APACHE II prognostic index was applied in order to assess clinical severity and anticipation of mortality in three groups who had non-surgical treatment, emergency surgery and elective surgery. MAIN MEASUREMENTS: The APACHE II index. RESULTS: The application of this index allowed patients to be stratified and expected death risks for both subgroups and the entire sample population to be calculated. The observed mortality rate was greater than the expected rate (28.5% versus 23.6%, respectively), with a statistically significant difference. The standardized mortality rate was 1.20. Patients who obtained scores above 25 presented a significant outcome towards death. The most severe and worst evolving cases were, in decreasing order: non-surgical, emergency surgical and scheduled surgical patients; the actual general mortality rate was higher than the expected one. CONCLUSIONS: The use of the APACHE II index made it possible to stratify critical patient groups according to the severity of their condition.
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title_short	Severity and prognosis in intensive care: prospective application of the Apache II Index
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author2	José Luiz Gomes do Amaral Masashi Munechika Yara Juliano José Gomes Bezerra Filho
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Severity and prognosis in intensive care: prospective application of the Apache II Index

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