Critical care medicine
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Critical care medicine · Oct 2006
Multicenter StudyIntensive care unit length of stay: Benchmarking based on Acute Physiology and Chronic Health Evaluation (APACHE) IV.
To revise and update the Acute Physiology and Chronic Health Evaluation (APACHE) model for predicting intensive care unit (ICU) length of stay. ⋯ The APACHE IV model provides clinically useful ICU length of stay predictions for critically ill patient groups, but its accuracy and utility are limited for individual patients. APACHE IV benchmarks for ICU stay are useful for assessing the efficiency of unit throughput and support examination of structural, managerial, and patient factors that affect ICU stay.
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Critical care medicine · Oct 2006
Multicenter StudyNursing home patients in the intensive care unit: Risk factors for mortality.
To determine intensive care unit (ICU) admission characteristics predictive of mortality among older nursing home residents. ⋯ Among vulnerable elderly nursing home residents, higher APACHE III score is independently associated with increased hospital mortality rate and mortality within 90 days. Among hospital survivors, impaired functional status is independently associated with increased mortality rate within 90 days.