Comparison of APACHE II, Adjusted APACHE II and TRISS Scores in Predicting Mortality Rate in Head Trauma Patients Admitted to ICU at Khatam-al-Anbia Hospital of Zahedan

3Associate Prof, Dept of Biological Statistics, Faculty of Management and Medical Informatics, Iran University of Medical Sciences and Health Services, Tehran, Iran

Zahedan Journal of Research in Medical Sciences:Vol. 11, issue 3; e94391

Published online:Sep 20, 2009

Article type:Research Article

Received:Nov 26, 2008

Accepted:Jul 26, 2009

How to Cite:Amini S, Safari Malekabadi M, Roudbari M. Comparison of APACHE II, Adjusted APACHE II and TRISS Scores in Predicting Mortality Rate in Head Trauma Patients Admitted to ICU at Khatam-al-Anbia Hospital of Zahedan. Zahedan J Res Med Sci. 2009;11(3):e94391. doi:

Abstract

Background: Head trauma is a common and potentially fatal injury. Various models such as APACHE II, simplified APACHE (SAPA II), MPM II, and TRISS have been proposed to predict mortality in these patients. In this study, we compared the efficacy of APACHE II, adjusted APACHE II and TRISS models in predicting the mortality rate and quality of provided services in head trauma patients. Materials and Methods: In this retrospective cross sectional study, we calculated the APACHE II and TRISS scores, and predicted mortality rate by each model as well as predicted rate of adjusted APACHE II in head trauma patients admitted to a general ICU at Khatam-al-Anbia hospital of Zahedan from June 2006 to June 2007. The discriminating power of the models to predict the mortality rates were then measured and compared using area under ROC curve and z statistics, respectively. P value less than 0.05 was considered statistically significant. Results: Fifty six patients were included in this cross-sectional study. Of these, there were 49 men and 7 women with the mean age of 24.4 years. The mean duration of ICU admission was 10.07±6.40 days and 11 patients (19.6%) passed away. The mean APACHE II and TRISS scores were 44.78±5.13 and 18.75±8.79, respectively. The comparison between the APACHE II and adjusted APACHE II (P value = 0.8), APACHE II and TRISS (P value=0.2), and adjusted APACHE II and TRISS (P value=0.25) showed no significant difference. Discussion: Our study revealed that APACHE II predicted the mortality rates better than adjusted APACHE II and TRISS models in head trauma patients admitted to ICU but this priority was not statistically significant.

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Comparison of Acute Physiology and Chronic Health Evaluation Score with Glasgow Coma Scale for predicting hospital mortality in neurosurgical patients

M Molavi,

H Kayalha,

A Seddighi

Molavi M, Kayalha H, Seddighi A. Comparison of Acute Physiology and Chronic Health Evaluation Score with Glasgow Coma Scale for predicting hospital mortality in neurosurgical patients. J Inflamm Dis. 2024;17(3):e155770. doi:

13

Feb

2016

Comparison of Glasgow Coma Scale, Full Outline of Unresponsiveness and Acute Physiology and Chronic Health Evaluation in Prediction of Mortality Rate Among Patients With Traumatic Brain Injury Admitted to Intensive Care Unit

Seyed Hossein Hosseini,

Mitra Ayyasi,

Hooshang Akbari,

Mohammad Ali Heidari Gorji

Hosseini SH, Ayyasi M, Akbari H, Heidari Gorji MA. Comparison of Glasgow Coma Scale, Full Outline of Unresponsiveness and Acute Physiology and Chronic Health Evaluation in Prediction of Mortality Rate Among Patients With Traumatic Brain Injury Admitted to Intensive Care Unit. Anesth Pain Med. 2017;7(5):e33653. doi: https://doi.org/10.5812/aapm.33653

10

Aug

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Comparison of the Accuracy of the GCS and FOUR Scores in Predicting Mortality of Patients with Traumatic Brain Injury (TBI) Admitted to the Emergency Department: A Prospective Study in Khorramabad, Iran

Amirhossein Pashaei,

Soodabeh Zare,

Peiman Bakhshi,

Sara Fakhri

Pashaei A, Zare S, Bakhshi P, Fakhri S. Comparison of the Accuracy of the GCS and FOUR Scores in Predicting Mortality of Patients with Traumatic Brain Injury (TBI) Admitted to the Emergency Department: A Prospective Study in Khorramabad, Iran. Shiraz E-Med J. 2026;26(10):e160840. doi: https://doi.org/10.5812/semj-160840

13

Feb

2014

Comparison of acute physiology and chronic health evaluation II and simplified acute physiology score II in predicting mortality in intensive care unit

S Yaqubi,

J Ghasemi,

T Karimzadeh,

N Mohammadi,

E Arfaee,

A Mohammadi

Yaqubi S, Ghasemi J, Karimzadeh T, Mohammadi N, Arfaee E, et al. Comparison of acute physiology and chronic health evaluation II and simplified acute physiology score II in predicting mortality in intensive care unit. J Inflamm Dis. 2024;17(5):e155781. doi:

28

Sep

2015

Comparison of two tools APACHE IV and SAPS II in predicting mortality rate in patients hospitalized in intensive care unit

Kian Norouzi,

Zohreh Mashmool,

Asghar Dalvandi,

Mohammadali Soleimani

Norouzi K, Mashmool Z, Dalvandi A, Soleimani M. Comparison of two tools APACHE IV and SAPS II in predicting mortality rate in patients hospitalized in intensive care unit. koomesh. 2015;16(3):e151258. doi:

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Shahram Amini:[PubMed][Scholar]
Mohammad Safari Malekabadi:[PubMed][Scholar]
Masoud Roudbari:[PubMed][Scholar]

The Official Journal of Zahedan University of Medical Sciences

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Comparison of APACHE II, Adjusted APACHE II and TRISS Scores in Predicting Mortality Rate in Head Trauma Patients Admitted to ICU at Khatam-al-Anbia Hospital of Zahedan

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