CRITICAL CARE PROGNOSTICS

APACHE II Station

Standardized Severity of Disease Classification HUD

CLINICALLY REVIEWED

1. Acute Physiology (APS)

2. Age Weighting

3. Chronic Health

Awaiting Clinical Data...

EMR Documentation

Clinical Application of APACHE II

The APACHE II (Acute Physiology and Chronic Health Evaluation II) is the world’s most validated severity-of-disease classification system. Designed by Knaus et al. in 1985, it is used within the first 24 hours of ICU admission to provide a risk-stratified mortality estimate based on the "worst" recorded physiological variables.

Component Calculation

Total Score (0–71) = APS (Acute Physiology Score) + Age Points + Chronic Health Points. Higher scores indicate increased physiological derangement and a correspondingly higher risk of hospital death.

Frequently Asked Questions

How should lab values be selected?

Always use the **most abnormal** (worst) value recorded during the initial 24-hour period of the patient's stay in the ICU.

What is the difference between APACHE II and SOFA?

APACHE II is a "snapshot" score used for initial prognosis and benchmarking. The SOFA score is calculated daily to monitor dynamic organ dysfunction and response to therapy.

Clinical Bibliography
  • 1. Knaus WA, et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13(10):818-29.
  • 2. Oh's Intensive Care Manual. 8th Edition. Elsevier Health Sciences.
Dr. Nikhil Mahajan, PT
Clinical Care Specialist

CLINICAL RESOURCE

This tool is designed for healthcare professionals and provides statistical mortality estimates based on established ICU data models.

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ESR 0–20 mm/hr for men and 0–30 mm/hr for women is normal.

— British Journal of Medicine

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98.6°F (37°C) is the average oral body temperature in adults.

— Mayo Clinic