Objective: To evaluate the accuracy of APACHEⅡ score derived from critical clinic information system compared with artificial method.
Methods: The APACHEII score derived from critical clinical information system (simple called system score) from August 1st to September 1st 2013 were collected.Each of the results including overall score subtitle were compared with the corresponding score calculated through artificial method.
Results: there is big difference between the two methods both between overall score and subtitle score.overall score (193.4) vs.(127.6) (P=0.001); age: (161.4) vs.(159.6) (P=0.862); Temperature: (169.6) vs.(151.4) (P=0.027); MAP: (190.8) vs. (130.2) (P=0.001); HR: (181.8) vs.(139.3) (P=0.001); RR: (191.4) vs.(129.6) (P=0.001); PaO2: (152.5) vs. (168.5) (P=0.001); pH: (174.0) vs. (147.0) vs. (P=0.001); Na+: (161.5) vs.(159.6) (P=0.576); K+: (163.4) vs. (157.6) (P=0.457); CR: (177.2) vs (143.8) (P=0.001); HCT: (166.2) vs. (154.8) (P=0.199); WBC: (167.8) vs.(153.2) (P=0.054); Items of GCS and Organ Failure were not being compared.
Conclusion: The APACHEII score obtained from critical clinic information system is more accurate and more objective.