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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Main advantages and disadvantages for the Acute Physiology and Chronic Health Evaluation-IV, MPM0-III and Simplified Acute Physiology Score 3 scores

Main advantages and disadvantages for the Acute Physiology and Chronic Health Evaluation-IV, MPM0-III and Simplified Acute Physiology Score 3 scores
Scoring system Advantages Disadvantages
APACHE-IV[1]
  • Coefficients regularly updated
  • Provides algorithms for LOS prediction
  • Specific algorithm to predict mortality in CABG surgery patients
  • Less prone to be affected by the case-mix
  • Developmental sample restricted to one country
  • More complex data collection
  • High abstraction burden
  • Proprietary scoring system*
MPM0-III[2]
  • Low abstraction burden
  • Less prone to interobserver variability
  • By using less physiologic data, may be preferred when laboratory resources are constrained
  • Developmental sample mostly restricted to one country
  • More susceptible to case-mix effects
SAPS 3[3,4]
  • Lowest abstraction burden
  • Less prone to interobserver variability
  • Developmental sample from 35 countries in five continents
  • Customized equations to predict hospital mortality according to seven different geographic regions
  • Potential use for international benchmarking
  • Does not provide estimation for LOS
  • Some regional equations were developed using relatively low sample size
APACHE: acute physiology and chronic health evaluation; LOS: length of stay; CABG: coronary artery bypass graft; MPM: mortality probability model; SAPS: simplified acute physiology score.
* Cerner Corporation has made the score algorithms publicly available.
References:
  1. Zimmerman JE, Kramer AA, McNair DS, Malila FM. Acute Physiology and Chronic Health Evaluation (APACHE) IV: hospital mortality assessment for today's critically ill patients. Crit Care Med 2006; 34:1297.
  2. Higgins TL, Teres D, Copes WS, et al. Assessing contemporary intensive care unit outcome: an updated Mortality Probability Admission Model (MPM0-III). Crit Care Med 2007; 35:827.
  3. Moreno RP, Metnitz PGH, Almeida E, et al. SAPS 3–from evaluation of the patient to evaluation of the intensive care unit. Part 2: development of a prognostic model for hospital mortality at ICU admission. Intensive Care Med 2005; 31:1345.
  4. Metnitz PGH, Moreno RP, Almeida E, et al. SAPS 3–from evaluation of the patient to evaluation of the intensive care unit. Part 1: objectives, methods and cohort description. Intensive Care Med 2005; 31:1336.
From: Salluh JI, Soares M. ICU severity of illness scores: APACHE, SAPS and MPM. Curr Opin Crit Care 2014; 20:557. DOI: 10.1097/MCC.0000000000000135. Copyright © 2014. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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