ACUTE PHYSIOLOGY AND CHRONIC HEALTH EVALUATION Meaning and
Definition
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Acute Physiology and Chronic Health Evaluation (APACHE) is a scoring system used in healthcare settings to assess the severity of illness and prognosis of patients admitted to intensive care units (ICUs). It is a tool that aids in the objective evaluation of patients' physiological status and chronic health conditions, allowing healthcare professionals to make informed decisions regarding their care.
APACHE assesses the acute physiology of patients based on various physiological measurements such as body temperature, heart rate, blood pressure, respiratory rate, and arterial pH. These measurements are recorded within the first 24 hours of ICU admission and are scored accordingly to reflect the severity of the patient's condition. Additionally, APACHE also accounts for patients' prior health status by considering chronic health conditions, age, and other relevant factors.
The scoring system assigns numerical values to different physiological parameters and chronic health conditions, which are then combined to generate an overall score. A higher score indicates a greater level of physiological derangement and suggests a poorer prognosis for the patient. This scoring system assists healthcare professionals in identifying patients who are at a higher risk of mortality or complications, thus enabling them to prioritize and allocate resources appropriately.
APACHE is commonly used in research studies, benchmarking exercises, quality improvement initiatives, and clinical decision-making processes in critical care. It provides a standardized and objective approach to evaluating and comparing the severity of illness among ICU patients, promoting consistency and accuracy in clinical assessments.
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