Benefits of APACHE II in Determining Patients’ Life Survival Treated in Intensive Care Unit

Diah Pujiastuti, - and KRISNAMURTI, MULYANI HER and Y. Titik Wahyuningsih Setyo Ningrum, - and Buana Dewo Febialinta, - (2020) Benefits of APACHE II in Determining Patients’ Life Survival Treated in Intensive Care Unit. Pelita Health and Education Journal, 1 (1). pp. 6-13. ISSN 2722-9912

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Abstract

Background: The need of critical care in Intensive Care Unit (ICU) is increasing. One of service improvement is using prognosis and otcome scoring system which is aimed to assess the severity of disease, ICU performance and determining prognosis of patient. Many staffs in ICU do not apply this kind of scoring because they do nout have sufficient information, so it decreases the quality of service in ICU. Acute Physiology and Chronic Health Evaluation (APACHE) II is mostly used scoring system. Aim: To provide information on accuracy of APACHE II to assess ICU patients' mortality rate. Methods: conducted through literature review by analyzing seven CHINAHL journals obtained by searching EBSCO, Pubmed, Google Scholar, and Portal Garuda online databases within the publication of 2015 to 2020 and two textbook sources on critical care. Results: reveals that the APACHE II scoring system can be utilized to predict the mortality rate and discriminate the life survival of the patients in the Intensive Care Unit. Additionally, the scoring system will be more accurate when combined with the APM nutrition parameter and applied to non-surgery, sepsis/shock, as well as neurosurgical patients. Conclusions: The APACHE-II scoring system has good accuracy in predicting mortality rate especially on non-surgery patients and can properly discriminate patients' life survival. However, the scoring system cannot be applied to all diseases found in ICU.

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