{"id":7604,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"kohortenstudie-zum-apache-ii-score-und-zur-mortalitat-fur-verschiedene-arten-von-intensivpatienten","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/de\/kohortenstudie-zum-apache-ii-score-und-zur-mortalitat-fur-verschiedene-arten-von-intensivpatienten\/","title":{"rendered":"Kohortenstudie zum APACHE II-Score und zur Mortalit\u00e4t f\u00fcr verschiedene Arten von Intensivpatienten"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p>Wenn Sie einen Teil oder den gesamten Artikel wiederverwenden m\u00f6chten, verwenden Sie bitte den untenstehenden Link, der Sie zum RightsLink-Dienst des Copyright Clearance Center f\u00fchrt. Sie erhalten einen schnellen Preis und die sofortige Erlaubnis, den Inhalt auf viele verschiedene Arten wiederzuverwenden.<\/p>\n<p><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/914?rss=1\">Medizinische t\u00e4gliche Quelle<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p><sec><st>Ziele<\/st><\/p>\n<p>Ermitteln Sie die Diskriminante und Kalibrierung des APACHE-II-Scores (Acute Physiology And Chronic Health Evaluation), um die Sterblichkeit f\u00fcr verschiedene Arten von Patienten auf Intensivstationen (ICU) vorherzusagen.<\/p>\n<p><\/sec><br \/>\n<sec><st>Methoden<\/st><\/p>\n<p>Dies ist eine Kohorten-Retrospektivstudie mit Sekund\u00e4rdaten von Intensivpatienten, die zwischen 2014 und 2018 im Siloam Hospital von Lippo Village eingeliefert wurden und deren Mindestalter \u226517 Jahre betrug. Die Analyse verwendet die ROC-Kurve, den Student-T-Test und die logistische Regression, um signifikante Variablen zu ermitteln, die zur Vorhersage der Sterblichkeit erforderlich sind.<\/p>\n<p><\/sec><br \/>\n<sec><st>Ergebnisse<\/st><\/p>\n<p>Insgesamt wurden 2181 Intensivpatienten in diese Studie aufgenommen: M\u00e4nner (55,521 TP3T) und Frauen (44,481 TP3T) mit einem Durchschnittsalter von 53,8 Jahren und einer Aufenthaltsdauer von 3,92 Tagen. Die Patienten wurden aus der Notaufnahme (30,51 TP3T), der Neurochirurgie (52,11 TP3T) und der Chirurgie (17,41 TP3T) eingeliefert, wobei die Sterblichkeitsrate 101 TP3T betrug. Patienten aus der Notaufnahme hatten den h\u00f6chsten durchschnittlichen APACHE-Score von 23,14 \u00b1 8,5, verglichen mit Patienten aus der Neurochirurgie (15,3 \u00b1 6,6) und der Chirurgie (15,8 \u00b1 6,8). Die Sterblichkeitsrate von Patienten aus der Notaufnahme (24,51 TP3T) war h\u00f6her als die von Patienten aus der Neurochirurgie (3,51 TP3T) oder der Chirurgie (5,31 TP3T). Der Bereich unter der Kurve des APACHE II-Scores betrug 0,8536 (95% CI 0,827 bis 0,879). Die Anpassungsg\u00fcte von Hosmer-Lemeshow zeigt p=0,000 bei der Sterblichkeit aller Intensivpatienten; p=0,641 bei medizinischen Notf\u00e4llen, p=0,0001 bei neurochirurgischen und p=0,000 bei chirurgischen Patienten.<\/p>\n<p><\/sec><br \/>\n<sec><st>Abschluss<\/st><\/p>\n<p>APACHE II hat eine gute Diskriminanz zur Vorhersage der Sterblichkeit bei Intensivpatienten im Siloam Hospital, aber einen schlechten Kalibrierungswert. Allerdings weist es bei neurochirurgischen und chirurgischen Patienten eine schlechte Kalibrierung auf, w\u00e4hrend es bei medizinischen Notfallpatienten eine angemessene Kalibrierung zeigt.<\/p>\n<p><\/sec><\/p>","protected":false},"author":2,"featured_media":7605,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7604","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cohort study of the APACHE II score and mortality for different types of intensive care unit patients - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/de\/kohortenstudie-zum-apache-ii-score-und-zur-mortalitat-fur-verschiedene-arten-von-intensivpatienten\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cohort study of the APACHE II score and mortality for different types of intensive care unit patients - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"Objectives Find the discriminant and calibration of APACHE II (Acute Physiology And Chronic Health Evaluation) score to predict mortality for different type of intensive care unit (ICU) patients. Methods This is a cohort retrospective study using secondary data of ICU patients admitted to Siloam Hospital of Lippo Village from 2014 to 2018 with minimum age &ge;17 years. The analysis uses the receiver operating characteristic curve, student t-test and logistic regression to find significant variables needed to predict mortality. Results A total of 2181 ICU patients: men (55.52%) and women (44.48%) with an average age of 53.8 years old and length of stay 3.92 days were included in this study. Patients were admitted from medical emergency (30.5%), neurosurgical (52.1%) and surgical (17.4%) departments, with 10% of mortality proportion. Patients admitted from the medical emergency had the highest average APACHE score, 23.14&plusmn;8.5, compared with patients admitted from neurosurgery 15.3&plusmn;6.6 and surgical 15.8&plusmn;6.8. The mortality rate of patients from medical emergency (24.5%) was higher than patients from neurosurgery (3.5%) or surgical (5.3%) departments. Area under curve of APACHE II score showed 0.8536 (95% CI 0.827 to 0.879). The goodness of fit Hosmer-Lemeshow show p=0.000 with all ICU patients&#039; mortality; p=0.641 with medical emergency, p=0.0001 with neurosurgical and p=0.000 with surgical patients. Conclusion APACHE II has a good discriminant for predicting mortality among ICU patients in Siloam Hospital but poor calibration score. However, it demonstrates poor calibration in neurosurgical and surgical patients while demonstrating adequate calibration in medical emergency patients.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/de\/kohortenstudie-zum-apache-ii-score-und-zur-mortalitat-fur-verschiedene-arten-von-intensivpatienten\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients.jpg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/urbancare.clinic\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/urbancare.clinic\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\/\/urbancare.clinic\/#\/schema\/person\/f286c4d84be896d302aceda3ed7e789c\"},\"headline\":\"Cohort study of the APACHE II score and mortality for different types of intensive care unit patients\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/urbancare.clinic\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/\"},\"wordCount\":68,\"publisher\":{\"@id\":\"https:\/\/urbancare.clinic\/#organization\"},\"image\":{\"@id\":\"https:\/\/urbancare.clinic\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/urbancare.clinic\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/\",\"url\":\"https:\/\/urbancare.clinic\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/\",\"name\":\"Cohort study of the APACHE II score and mortality for different types of intensive care unit patients - 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Urban Care Clinic","og_description":"Objectives Find the discriminant and calibration of APACHE II (Acute Physiology And Chronic Health Evaluation) score to predict mortality for different type of intensive care unit (ICU) patients. Methods This is a cohort retrospective study using secondary data of ICU patients admitted to Siloam Hospital of Lippo Village from 2014 to 2018 with minimum age &ge;17 years. The analysis uses the receiver operating characteristic curve, student t-test and logistic regression to find significant variables needed to predict mortality. Results A total of 2181 ICU patients: men (55.52%) and women (44.48%) with an average age of 53.8 years old and length of stay 3.92 days were included in this study. Patients were admitted from medical emergency (30.5%), neurosurgical (52.1%) and surgical (17.4%) departments, with 10% of mortality proportion. Patients admitted from the medical emergency had the highest average APACHE score, 23.14&plusmn;8.5, compared with patients admitted from neurosurgery 15.3&plusmn;6.6 and surgical 15.8&plusmn;6.8. The mortality rate of patients from medical emergency (24.5%) was higher than patients from neurosurgery (3.5%) or surgical (5.3%) departments. Area under curve of APACHE II score showed 0.8536 (95% CI 0.827 to 0.879). The goodness of fit Hosmer-Lemeshow show p=0.000 with all ICU patients' mortality; p=0.641 with medical emergency, p=0.0001 with neurosurgical and p=0.000 with surgical patients. Conclusion APACHE II has a good discriminant for predicting mortality among ICU patients in Siloam Hospital but poor calibration score. However, it demonstrates poor calibration in neurosurgical and surgical patients while demonstrating adequate calibration in medical emergency patients.","og_url":"https:\/\/urbancare.clinic\/de\/kohortenstudie-zum-apache-ii-score-und-zur-mortalitat-fur-verschiedene-arten-von-intensivpatienten\/","og_site_name":"Urban Care Clinic","article_publisher":"https:\/\/www.facebook.com\/urbancarezanzibar","article_published_time":"2022-11-22T10:00:22+00:00","og_image":[{"url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients.jpg","type":"","width":"","height":""}],"author":"Urban Care Clinic","twitter_card":"summary_large_image","twitter_image":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients.jpg","twitter_misc":{"Verfasst von":"Urban Care 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