ArticleCritical care research and practice2018
Combination of APACHE Scoring Systems with Adductor Pollicis Muscle Thickness for the Prediction of Mortality in Patients Who Spend More Than One Day in the Intensive Care Unit.
Article in Critical care research and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- Undernutrition and 60-day mortality in critically ill children with respiratory failure: a prospective cohort study.BMC pediatrics · 2023Article
- Prognostic values of modified NUTRIC score to assess outcomes in critically ill patients admitted to the intensive care units: prospective observational study.BMC anesthesiology · 2023Observational
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of the present study was to compare the ability of Acute Physiology and Chronic Health Evaluation (APACHE) scoring systems with the combination of an anthropometric variable score "adductor pollicis muscle (APM) thickness" to the APACHE systems in predicting mortality in the intensive care unit.
methodsA prospective observational study was conducted with the APM thickness in the dominant hand, and APACHE II and III scores were measured for each patient upon admission. Given scores for the APM thickness were added to APACHE score systems to make two composite scores of APACHE II-APM and APACHE III-APM. The accuracy of the two composite models and APACHE II and III systems in predicting mortality of patients was compared using the area under the ROC curve.
resultsThree hundred and four patients with the mean age of 54.75 ± 18.28 years were studied, of which 96 (31.57%) patients died. Median (interquartile range) of APACHE II and III scores was 15 (12-20) and 47 (33-66), respectively. Median (interquartile range) of APM thickness was 15 (12-17) mm, respectively. The area under the ROC curves for the prediction of mortality was 0.771 (95% CI: 0.715-0.827), 0.802 (95% CI: 0.751-0.854), 0.851 (95% CI: 0.807-0.896), and 0.865 (95% CI: 0.822-0.908) for APACHE II, APACHE III, APACHE II-APM, and APACHE III-APM, respectively.
conclusionAlthough improvements in the area under ROC curves were not statistically significant when the APM thickness added to the APACHE systems, but the numerical value added to AUCs are considerable.
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Registered trials
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