{"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":"utafiti-wa-kikundi-cha-alama-za-apache-ii-na-vifo-kwa-aina-tofauti-za-wagonjwa-wa-kitengo-cha-utunzaji-mkubwa","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/sw\/cohort-study-of-the-apache-ii-score-and-mortality-for-different-types-of-intensive-care-unit-patients\/","title":{"rendered":"Utafiti wa Cohort wa alama ya APACHE II na vifo kwa aina tofauti za wagonjwa wa kitengo cha utunzaji mkubwa"},"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>Ikiwa ungependa kutumia tena makala yoyote au yote haya tafadhali tumia kiungo kilicho hapa chini kitakachokupeleka kwenye huduma ya RightsLink ya Kituo cha Kusafisha Hakimiliki. Utaweza kupata bei ya haraka na ruhusa ya papo hapo ya kutumia tena maudhui kwa njia nyingi tofauti.<\/p>\n<p><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/914?rss=1\">Chanzo cha matibabu cha kila siku<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p><sec><st>Malengo<\/st><\/p>\n<p>Pata alama za kibaguzi na urekebishaji wa alama za APACHE II (Acute Physiology And Chronic Health Evaluation) ili kutabiri vifo vya aina tofauti za wagonjwa wa kitengo cha wagonjwa mahututi (ICU).<\/p>\n<p><\/sec><br \/>\n<sec><st>Mbinu<\/st><\/p>\n<p>Huu ni utafiti wa kikundi cha watu waliorudi nyuma kwa kutumia data ya pili ya wagonjwa wa ICU waliolazwa katika Hospitali ya Siloam ya Kijiji cha Lippo kutoka 2014 hadi 2018 na umri wa chini \u226517. Uchanganuzi hutumia curve ya tabia ya kipokeaji, mtihani wa t wa mwanafunzi na urejeshaji wa vifaa ili kupata vigezo muhimu vinavyohitajika kutabiri vifo.<\/p>\n<p><\/sec><br \/>\n<sec><st>Matokeo<\/st><\/p>\n<p>Jumla ya wagonjwa 2181 wa ICU: wanaume (55.52%) na wanawake (44.48%) wenye wastani wa umri wa miaka 53.8 na muda wa kukaa siku 3.92 walijumuishwa katika utafiti huu. Wagonjwa walilazwa kutoka idara za dharura za matibabu (30.5%), upasuaji wa neva (52.1%) na idara za upasuaji (17.4%), na 10% ya uwiano wa vifo. Wagonjwa waliolazwa kutokana na dharura ya matibabu walikuwa na wastani wa juu zaidi wa alama za APACHE, 23.14\u00b18.5, ikilinganishwa na wagonjwa waliolazwa kutokana na upasuaji wa neva 15.3\u00b16.6 na upasuaji 15.8\u00b16.8. Kiwango cha vifo vya wagonjwa kutoka kwa dharura ya matibabu (24.5%) kilikuwa cha juu kuliko wagonjwa kutoka kwa upasuaji wa neva (3.5%) au idara za upasuaji (5.3%). Eneo lililo chini ya alama ya APACHE II lilionyesha 0.8536 (95% CI 0.827 hadi 0.879). Uzuri wa fit Hosmer-Lemeshow unaonyesha p=0.000 pamoja na vifo vya wagonjwa wote wa ICU; p=0.641 yenye dharura ya kimatibabu, p=0.0001 na upasuaji wa neva na p=0.000 na wagonjwa waliofanyiwa upasuaji.<\/p>\n<p><\/sec><br \/>\n<sec><st>Hitimisho<\/st><\/p>\n<p>APACHE II ina kibaguzi kizuri cha kutabiri vifo kati ya wagonjwa wa ICU katika Hospitali ya Siloam lakini alama za urekebishaji duni. Walakini, inaonyesha urekebishaji duni kwa wagonjwa wa neurosurgical na upasuaji huku ikionyesha urekebishaji wa kutosha kwa wagonjwa wa dharura wa matibabu.<\/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":{"page_builder":"","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 v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\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\/sw\/utafiti-wa-kikundi-cha-alama-za-apache-ii-na-vifo-kwa-aina-tofauti-za-wagonjwa-wa-kitengo-cha-utunzaji-mkubwa\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\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\/sw\/utafiti-wa-kikundi-cha-alama-za-apache-ii-na-vifo-kwa-aina-tofauti-za-wagonjwa-wa-kitengo-cha-utunzaji-mkubwa\/\" \/>\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\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\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\\\/a304a61bcf298680ee41e2e9ae193930\"},\"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\":\"sw\"},{\"@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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Kliniki ya Utunzaji wa Mjini","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/urbancare.clinic\/sw\/utafiti-wa-kikundi-cha-alama-za-apache-ii-na-vifo-kwa-aina-tofauti-za-wagonjwa-wa-kitengo-cha-utunzaji-mkubwa\/","og_locale":"en_US","og_type":"article","og_title":"Cohort study of the APACHE II score and mortality for different types of intensive care unit patients - 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\/sw\/utafiti-wa-kikundi-cha-alama-za-apache-ii-na-vifo-kwa-aina-tofauti-za-wagonjwa-wa-kitengo-cha-utunzaji-mkubwa\/","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","width":1024,"height":1024,"type":"image\/jpeg"}],"author":"Urban Care Clinic","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Urban Care 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