Evaluation of mortality rate with APACHE II scoring system in patients admitted to trauma ICU of Shahid Beheshti Hospital of Qom

Due to the importance of taking care of patients admitted to the treatment centers, especially ICU, the provided care should be commensurate with the severity of disease. Using APACHE II (Acute Physiology and Chronic Health Evaluation II) standard scoring for determining severity of the disease and comparing it with other therapeutic centers is necessary. The aim of this study was to determine the mortality rate of patients admitted to trauma ICU with different APACHE II scores. Methods and This descriptive and retrospective study was performed in 6 month period from March to Sep 2011 in trauma ICU ward of Shahid Beheshti Hospital of Qom. Overall admitted patients were 140 and data was obtained from 110 patients with complete data and special data sheet of APACHE II Scoring system was performed for them. Data sheet were prepared for all patient and at the end of sheet, total scoring was recorded. Out of 110 patients, 80 (73%) were male and 25(27%) were female. Mortality and viability in these two group was 25(22.7%) and 85(77.3%) respectively. Eight percent of 75 (68.2%) patients with scoring below 15 died and in 20(18.2%) patients with scoring 20-30, 12(60%) died and 8 patients survived. Of the patients with scoring number 16-19, mortality rate was 6(42.9%) and survival was 8 (57.1%). In comparison with standard scoring system, in our study mortality rate in scores below 19 was lower than standard, but with scores above 20, mortality rate was 25% higher than the standard system. APACHE II scoring system can be useful in trauma ICU and in greater scoring numbers, severe intensive care must be considered for ICU patient.