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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 1, February 2014 pp 07-09

Research Article

Acute Physiological and Chronic Health Examination Scoring System in Prediction of Mortality in Critically Ill Patients and It’s Comparison with Other Scoring Systems


Bhargava Reddy N.*, Swaroo Phegde*, Neha Athale**, Jaishree Ghanekar***

*Resident, **Assistant Professor, ***Professor, Department of Medicine

MGM Medical College, Sector-18, Kamothe, Navi Mumbai, 410218, Maharashtra, INDIA.


Academic Editor : Dr. Aher K.R.



Predicting the severity of critically ill patients is as essential as management of the patient in intensive care unit. Several scoring systems have been tried in the past with regular modifications. Acute physiological and chronic health examination scoring system (APACHE IV) was used in predicting the mortality and outcome in critically ill patients. APACHE IV scoring system was compared with the older scoring systems, LODS, MPM II0 and MPM II24, . Various statistical tools were used to assess the correlation, significance, and predictability. A total of 181 patients were included in the study. APACHE IV score had the best calibration and discrimination .MPM II0 score had good calibration and fairly good discrimination .MPM II24 score had the least significant discrimination and calibration.