|
Age in years
under 44--------------------0 Points
45-54-----------------------2 Points
55-64-----------------------3
Points
65-74-----------------------5
Points
over
74---------------------6 Points
Point Value for Age----------_____
|
History
of severe organ insufficiency or immunocompromised?
Yes, and non-operative or emergency post-operative
patient----------------------5 Points
Yes, and elective post-operative patient----------------------2 Points
No--------------------------0 Points
Point Value for History-------_____
|
Rectal Temperature
(Celsius)
over 40.9-------------------4 Points
39-40.9--------------------3
Points
38.5-38.9------------------1 Points
36-38.4--------------------0
Points
34-35.9--------------------1 Points
32-33.9--------------------2
Points
30-31.9--------------------3 Points
below
30-------------------4 Points
Point Value for Temperature-_____
|
|
Mean arterial pressure
(mm Hg)
over 159--------------------4 Points
130-159--------------------3 Points
110-129--------------------2
Points
70-109---------------------0
Points
50-69----------------------2 Points
below 50-------------------4 Points
Point Value for MAP---------_____
|
Heart rate
(ventricular
response)
over 179--------------------4 Points
140-179--------------------3 Points
110-139--------------------2 Points
70-109---------------------0 Points
55-69----------------------2 Points
40-54----------------------3 Points
below
40-------------------4 Points
Point Value for Heart Rate----_____
|
Respiratory Rate
(non-ventilated
or ventilated)
over 49---------------------4 Points
35-49-----------------------3 Points
25-34-----------------------1 Points
12-24-----------------------0 Points
10-11-----------------------1 Points
6-9-------------------------2 Points
below 6---------------------4 Points
Point Respiratory Rate--------_____
|
|
Oxygenation
(use PaO2
if FiO2 < 50%,
otherwise use A-a gradient)
A-a gradient over 499------4 Points
A-a gradient 350-499------3 Points
A-a gradient 200-349------2 Points
A-a below 200 (if FiO2
over 49%) or pO2 more than 70
(if FiO2 less than 50%)-----0 Points
pO2 = 61-70---------------1 Points
pO2 =
55-60---------------3 Points
pO2 below
55--------------4 Points
Point Value for Oxygenation--_____
|
Arterial pH
over
7.69-------------------4 Points
7.60-7.69-------------------3 Points
7.50-7.59-------------------1 Points
7.33-7.49-------------------0 Points
7.25-7.32-------------------2 Points
7.15-7.24-------------------3
Points
below 7.15-----------------4 Points
Point Value for pH----------_____
|
Serum sodium
(mMol/L)
over 179-------------------4 Points
160-179-------------------3 Points
155-159-------------------2 Points
150-154-------------------1 Points
130-149-------------------0 Points
120-129-------------------2 Points
111-119-------------------3 Points
below 111-----------------4 Points
Point Value Sodium Level----_____
|
|
Serum potassium
(mMol/L)
over 6.9--------------------4 Points
6-6.9-----------------------3 Points
5.5-5.9---------------------1 Points
3.5-5.4---------------------0 Points
3-3.4-----------------------1 Points
2.5-2.9---------------------2 Points
below 2.5------------------4 Points
Point Value for K Level-------_____
|
Serum Creatinine
(mg/100 mL)
over 3.4 & acute renal fail---8 Points
2.0-3.4
& acute renal fail----6 Points
over 3.4
& chronic renal fail-4 Points
1.5-1.9 & acute renal fail----4 Points
2.0-3.4 and chronic---------3 Points
1.5-1.9 and chronic---------2 Points
0.6-1.4---------------------0 Points
below 0.6-------------------2 Points
Point Value for Creatinine----_____
|
Hematocrit
(%)
over 59.9-------------------4 Points
50-59.9---------------------2 Points
46-49.9---------------------1 Points
30-45.9---------------------0 Points
20-29.9---------------------2 Points
below 20-------------------4 Points
Point Value for Hematocrit---_____
|
|
White blood count
(total/cubic
mm in 1000's)
over 39---------------------4 Points
20-39.9--------------------2 Points
15-19.9--------------------1 Points
3.0-14.9-------------------0 Points
1.0-2.9---------------------2 Points
below 1.0------------------4 Points
Point Value for WBC--------_____
|
15 minus the Glasgow Coma Score.
Point Value for 15-Glasgow--_____
|
Total of all Points Apache
Score_____
0-4
~4% death rate
5-9 ~8% death
rate Interpretation of
10-14 ~15% death rate the Apache Score
15-19 ~25% death rate
20-24 ~40% death rate
25-29 ~55% death rate
30-34 ~75% death rate
over 34 ~85% death rate
|