Correlation Analysis between Changes of the APACHE II Score and the Prognosis of the Post-cardiopulmonary Re-suscitation Patients in Emergency Intensive Care Unit
WANG Wei
CHEN Wen-teng
DU Yu-gang
LIU Yu-fen
SONG Wei
Abstract：Objective To explore the correlation between the changes of acute physiology and chronic health evalua-tion II (APACHE II) score and the prognoses of post-cardiopulmonary resuscitation (CPR) patients in emergency intensive care unit (EICU). Methods A total of 58 post-CPR patients with restoration of spontaneous circulation ( ROSC) in the EICU between January 2010 and December 2012 were divided into not longer than 24 h group (group A, n = 31) and longer than 24 h (group B, n = 27) according to survival time, and the group B was further divided into the discharged subgroup (n = 13) and the death subgroup (n = 14). The APACHEII scores 1 h and 6 h after ROSC in all groups, different values and change rates of APACHE Ⅱ scores were compared. Results The differences of APACHE II scores 1 h and 6 h after ROSC in group A and B were not statistically significant (t = 0. 711, P = 0. 480; t = 1. 124, P = 0. 266), but the differences of differ-ent values and change rates of APACHE Ⅱ scores in the two groups were statistically significant (t = 2. 991, P = 0. 004; t =3. 938, P = 0. 000); there was no correlation between the change rate of 1 h and 6 h after ROSC with 1 h after ROSC score (r = 0. 015, P = 0. 913). The difference of APACHE II scores 1 h after ROSC in the two subgroups was not statistically signif-icant (t = 1. 867, P > 0. 05), however the difference of APACHE II scores 6 h after ROSC in the two subgroups was signifi-cant (t = 7. 024, P < 0. 01); the differences in different values and change rates of APACHE Ⅱ scores in the two subgroups were also statistically significant ( t = 4. 151, P < 0. 01; t = 7. 334, P < 0. 01). Conclusion The change rate of the APACHE Ⅱ score is an earlier and better prognosis prediction index for the post-CPR patients in EICU.
Keywords：Heart arrestIntensive care unitCardiopulmonary resuscitationAPACHE Ⅱ scorePrognosis
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 7-10 )