Pre-admission functional status impacts the performance of the APACHE IV model of mortality prediction in critically ill patients.

ABSTRACT:

Background

Functional status (FS) before intensive care unit (ICU) admission is associated with short-term and long-term outcomes among critically ill patients. However, measures of FS are generally not integrated into ICU-specific mortality prediction models.

Methods

This retrospective cohort study used prospectively collected data from 9638 consecutive patients admitted to a single ICU between 1 October 2005 and 30 September 2015. For each ICU admission, FS was prospectively determined and classified into three discrete categories based on performance of basic daily living activities (FS1 - fully independent; FS2 - partly dependent; FS3 - completely dependent). We prospectively calculated Acute Physiology and Chronic Health Evaluation (APACHE) IV predicted mortality percen

SUBMITTER: Krinsley JS 

PROVIDER: S-EPMC5433010 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature