Neurosurgical Intensive Care Unit Effective Outcomes Measurement with Acute Physiology and Chronic Health Evaluation (APACHE) III
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Abstract
Background: There were no studies evaluated the neurosurgical intensive care unit (ICU) performance in Thailand. Therefore, the authors performed this study to evaluate the severity of critically illed neurosurgical patients in Prasat Neurological Institute ICU with Acute Physiology and Chronic Health Evaluation (APACHE) III score and their correlation to mortality rate and length of stay.
Methodology: This cross sectional study recruited all newly admitted patients to neurosurgical ICU. The demographic and the parameters related to APACHE III criteria were recorded within 30 minutes after the admission. The length of stay in ICU and the hospital length of stay as well as ICU discharge and hospital discharge mortality rate were observed.
Results: There were 274 patients totally, 246 (89.8%) admitted as elective case and 269 (98.2%) transferred from operating theatre. Two hundred (73.0%) were diagnosed cerebral tumour and the majority course of admission was major surgery. The ICU and hospital length of stay were 9.37±18.03 and 22.71±25. 08 days. The mortality rates at ICU discharge and at hospital discharge were 0 and 4.4% respectively. The mean APACHE III score was 29.78±16.87 (5-95) with no statistical significance among the type of surgery.
Conclusion: There were no statistical significance between the mean APACHE III score and hospital discharge mortality rate, ICU length of stay and hospital length of stay among critically illed neurosurgical patients.
Keywords: Length of stay; mortality rate; performance; prognosis; scores
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References
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