Table 1.
Physiological Variable | High Abnormal Range | Low Abnormal Range | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
+4 | +3 | +2 | +1 | 0 | +1 | +2 | +3 | +4 | Points | |
Temperature | ≥41° | 39 to 40.9° | 38.5 to 38.9° | 36 to 38.4° | 34 to 35.9° | 32 to 33.9° | 30 to 31.9° | ≤29.9° | ||
Mean Arterial Pressure-mm Hg | ≥160 | 130 to 159 | 110 to 129 | 70 to 109 | 50 to 69 | ≤49 | ||||
Heart Rate | ≥180 | 140 to 179 | 110 to 139 | 70 to 109 | 55 to 69 | 40 to 54 | ≤39 | |||
Respiratory Rate | ≥50 | 35 to 49 | 25 to 34 | 12 to 24 | 10 to 11 | 6 to 9 | ≤5 | |||
Oxygenation: A-aDO2 or PaO2 (mm Hg) | ≥500 | 350 to 499 | 200 to 349 | <200 | ||||||
a. FD2 ≥0.5 record A-aD02 | ||||||||||
b. FD2 >0.5 record PaO2 | PO2>70 | PO2 61 to 70 | PO2 55 to 60 | PO2<55 | ||||||
Arterial pH | ≥7.7 | 7.6 to 7.69 | 7.5 to 7.59 | 7.33 to 7.49 | 7.25 to 7.32 | 7.15 to 7.24 | <7.15 | |||
Serum HCO3 (venous mEq/l) | ≥52 | 41 to 51.9 | 32 to 40.9 | 22 to 31.9 | 18 to 21.9 | 15 to 17.9 | <5 | |||
Serum Sodium (mEq/l) | ≥180 | 160 to 179 | 155 to 159 | 150 to 154 | 130 to 149 | 120 to 129 | 111 to 119 | ≤110 | ||
Serum Potassium (mEq/l) | ≥7 | 6 to 6.9 | 5.5 to 5.9 | 3.5 to 5.4 | 3 to 3.4 | 2.5 to 2.9 | <2.5 | |||
Serum Creatinine (mEq/l) | ≥3.5 | 2 to 3.4 | 1.5 to 1.9 | 0.6 to 1.4 | <0.6 | |||||
Haematocrit (%) | ≥60 | 50 to 59.9 | 46 to 49.9 | 30 to 45.9 | 20 to 29.9 | <20 | ||||
White Blood Count (total/mm3) | ≥40 | 20 to 39.9 | 15 to 19.9 | 3 to 14.9 | 1 to 2.9 | <1 | ||||
Glasgow Coma Score (GCS) | ||||||||||
Score = 15 minus actual GCS |
A. Total Acute Physiology Score (APS) (sum of 12 above points)
B. Age points (years) ≤44=0; 45 to 54=2; 55 to 64=3; 65 to 74=5; ≥75=6
C. Chronic Health Points (see below)
Total APACHE II Score (add together the points from A+B+C