Volume 10, Issue 4 (11-2020)                   JABS 2020, 10(4): 2703-2715 | Back to browse issues page

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Khorramnia S, Souri Z, Bashari N, Farahbakhsh F, Khorramnia S, Koohestani S. Comparison of APACHE Scoring Systems in Predicting Mortality in ICU: a Systematic Review and Meta-Analysis. JABS 2020; 10 (4) :2703-2715
URL: http://jabs.fums.ac.ir/article-1-2249-en.html
1- Department of Anesthesiology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
2- Department of Radiology, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Health Economics, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran
4- Guilan University of Medical Sciences, Rasht, Iran
5- Rafsanjan University of Medical Sciences, Rafsanjan, Iran , sk.koohestani@gmail.com
Abstract:   (1664 Views)
Background & Objective: APACHE scoring systems are performed to predict the mortality rate of patients admitted to the hospital's intensive care unit (ICU). At present, APACHE II, III and VI are used in ICUs of Iranian hospitals. Due to the high mortality rate in the ICU, compared to other parts of the hospital and the use of APACHE systems in predicting the mortality rate, determining the best predictor is very important. Therefore, this study was performed to determine the best system for predicting the mortality of patients admitted to the ICU.
Materials & Methods: An electronic search in SID, Magiran, PubMed, Scopus, ScienceDirect and Google Scholar databases was performed until November 2019 using keywords. The list of key study sources was also reviewed to find studies that may not have been found through electronic search. The quality of studies was assessed with STROBE checklist. Data analysis was performed using CMA software version 2.
Results: 21 studies involving 3576 patients were meta-analyzed. 14 studies used the APACHE II, three studied used Apache III, and four studied used Apache IV. The meta-analyses found that the final estimate of the accuracy of the APACHE II in predicting mortality was 0.052 (CI = 0.030; 0.091), APACHE III 0.09 (CI = 0.029; 0.245), and APACHE IV 0.088 (C.I = 0.031; 0.228).
Conclusion: The findings of this study showed that the APACHE III had more accuracy in predicting the mortality rate of patients admitted to the ICU compared to APACHE II and IV. The ward has special care. It is recommended that this scoring system be used in hospitals to prioritize patients admitted to the ICU.
 
 
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Type of Study: Review | Subject: Nursery
Received: 2020/02/5 | Accepted: 2020/08/31 | Published: 2021/01/29

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