EVALUATION OF PREDICTIVE EFFICACY OF APACHE IV SCORE IN ABDOMI N AL TRAUMA PATIENTS

Abstract

OBJECTIVE: To evaluate predictive efficacy of APACHE IV score in abdominal trauma patients admitted in tertiary care centre and to calculate prognosis of patient. MATERIAL AND METHODS: We performed a prospective study of 107 patients who were admitted in surgical intensive care unit from July 2013 to august 2014. APACHE IV score and length of stay in SICU was calculated by APACHE IV calculator. Means of APACHE IV score and length of stay was calculated by SPSS 20 and p value calculated through single sample t test. APACHE SCORE OF 60 was kept as cut off. Patients with APACHE SCORE >60 were expected to have poor prognosis. RESULTS: In total 107 patients 17 patients died and 19 patients were expected to have poor prognosis. Mean age of patients who died was 38.88+/-16.186. MEAN APACHE IV SCORE of the 17 patients who died was 76.76 with SD+/-10.75 and the MEAN APACHE IV SCORE of the 90 patients who survived was 32.72 with SD+/-11.115. p value was 0.001. CONCLUSION: APACHE IV scoring system can reasonably predict the mortality risk in patients of Abdominal Trauma Patients which include blunt trauma and Penetrating abdominal injury. This scoring system can be used to assess the outcome of critically ill patients admitted in ICU and would help us in proper management of patients. It can help us in proper utilization of available resources& man power; better counselling.