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International Use of a Classification System for Evaluation of Outcome of Acutely Ill Patients

Published online by Cambridge University Press:  28 June 2012

William A. Knaus ,
Jean R. Le Gall ,
R. Abizanda Campos ,
Francoise Nicolas ,
C. Granthil ,
Phillippe Loirat ,
Paul Glaser ,
Francis Wattel ,
Phillippe Mercier  and
Baekhyo Shin
...Show all authors
William A. Knaus
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Jean R. Le Gall
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
R. Abizanda Campos
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Francoise Nicolas
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Phillippe Loirat
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Paul Glaser
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Francis Wattel
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Phillippe Mercier
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Baekhyo Shin
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
James V. Snyder
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
David J. Cullen
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Mary K. Kohles
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Marvin L. Birnbaum
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Elizabeth A. Draper
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
Douglas P. Wagner
Affiliation:
From “ICU Research,”George Washington University Medical Center, 2300 K Street NW, Washington DC 20037, USA.
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Extract

Investigations describing the utilization pattern and comparing the outcome from emergency and mass casualty situations are limited by the lack of a reliable and valid patient classification system. In this study we briefly describe the use of APACHE (Acute Physiology and Chronic Health Evaluation), a physiologically based classification system for measuring severity of illness in groups of critically ill patients, as a tool in comparing outcomes of 1437 ICU admissions from eight European and five American hospitals. Because of the successful results from this pilot effort, we believe that APACHE could be used to compare the performance of hospitals in an emergency or mass casualty situation.

Type
Part I: Research-Education-Organization
Information
Prehospital and Disaster Medicine , Volume 1 , supplement S1: Disaster Resuscitology , 1985 , pp. 51 - 54
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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References

1. Knaus, WA, Zimmerman, JE, Wagner, DP et al. APACHE —Acute physiology and chronic health evaluation: A physiologically based classification system. Crit Care Med 1981;9:591.CrossRefGoogle ScholarPubMed