Value of APACHEⅡfor predicting the nursing workload in EICU
10.3760/cma.j.issn.2095-4352.2017.04.016
- VernacularTitle:用EICU患者APACHEⅡ评分预估护理工作量的研究
- Author:
Yongli GAO
;
Xingyu ZHU
;
Yan MA
;
Na HE
;
Dayan LI
;
Hai HU
- Keywords:
Acute physiology and chronic health evaluation Ⅱ score;
Therapeutic intervention scoring system;
Nursing workload
- From:Chinese Critical Care Medicine
2017;29(4):368-370
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive value of acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) for nursing workload in emergency intensive care unit (EICU).Methods A retrospective cohort study was conducted. Critical patients except for trauma admitted to EICU of West China Hospital of Sichuan University from June 2012 to July 2016 were enrolled. APACHE Ⅱ score and therapeutic intervention scoring system (TISS-28) score were calculated in each case. The relationship between APACHE Ⅱ score and TISS-28 score was analyzed by correlation analysis and curve estimation.Results A total of 1148 patients were enrolled, including 689 male (60.0%), and age of (56±19) years old, APACHE Ⅱ score was 19 (13, 25), and TISS score was 19 (13, 25). The Spearman correlation coefficient between APACHE Ⅱ score and TISS-28 score was 0.849 (P < 0.001), and that among the linear model quadratic model, composite model, growth model, logarithm model, cubic model and exponential modelR2 were 0.669, 0.710, 0.792, 0.764, 0.765, 0.765, respectively (allP < 0.01), and the most suitable description for relationship between APACHE Ⅱ score and TISS-28 score curve was cubic model. The nursing workload was significantly increased when APACHE Ⅱ score ≥30, and it was decreased when APACHE Ⅱ score < 30.Conclusion APACHE Ⅱ was a useful score for predicting the nursing workload in EICU.
