AGE
POINTS
Assign points to age as follows:
|
AGE
(yrs)
|
POINTS
|
|
< 44
|
0
|
|
45 - 54
|
2
|
|
55 - 64
|
3
|
|
65 - 74
|
5
|
|
> 75
|
6
|
CHRONIC HEALTH
POINTS
If the patient has a history of severe organ system deficiency or
is immuno - compromised, assign points as follows:
|
a. For nonoperative or emergency postoperative patients (5 points)
b. for selective postoperative patients
(2 points)
DEFINITIONS:
Organ insufficiency or immuno-compromised state must have been evident
prior to the hospital admission and conform to the following criteria.
LIVER:
Biopsy proven cirrhosis and documented portal hypertension episodes
of past upper GI bleeding attributed to portal hypertension:
prior episodes of hepatic failure/encephalopathy/coma. |
RESPIRATORY:
Chronic restrictive, obstructive, or vascular disease resulting
in severe exercise restriction.
Unable to climb stairs or perform household duties: or documented
chronic hypoxia, hypercapnia, secondary polycythemia, severe pulmonary
hypertension ( > 40mmHg), or respirator dependancy.
RENAL:
Recurring chronic dialysis
IMMUNO-COMPROMISED:
The patient has received therapy that suppresses resistance to infection
[e.g. immuno-suppresion, chemotherapy, radiation, long-term or recent
high dose steroids] or has a disease that is sufficiently advanced
to suppress resistance to infection [e.g. leukemia, lymphoma, AIDS] |
APACHE SCORE
[ sum of A+B+C ]
A. APS points
B. Age points
C. Chronic health points
TOTAL APACHE SCORE |