Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan 15:371:427-431.
doi: 10.1016/j.ijcard.2022.09.065. Epub 2022 Sep 29.

Predictive outcomes of APACHE II and expanded SAPS II mortality scoring systems in coronary care unit

Fatih Kahraman  1 , Ahmet Seyda Yılmaz  2 , İbrahim Ersoy  3 , Mevlüt Demir  4 , Hikmet Orhan  5
Affiliations

Predictive outcomes of APACHE II and expanded SAPS II mortality scoring systems in coronary care unit

Fatih Kahraman et al. Int J Cardiol. .

Abstract

Objective: We investigated the predictive values of the expanded Simplified Acute Physiology Score (SAPS) II and Acute Physiologic Score and Chronic Health Evaluation (APACHE) II score in predicting in-hospital mortality in coronary care unit (CCU) patients.

Methods: In this study, expanded SAPS II and APACHE II scores were calculated in the CCU of a single-center tertiary hospital. Patients admitted to CCU with any cardivascular indication were included in the study. Both scores were calculated according to previously determined criteria. Calibration and discrimination abilities of the scores in predicting in-hospital mortality were tested with Hosmer-Lemeshow goodness-of-fit C chi-square and receiver operating characteristics (ROC) curve analyses.

Results: A total of 871 patients were included in the analysis. The goodness-of-fit C chi-square test showed that both scores have a good performance in predicting survivors and nonsurvivors in CCU. Expanded SAPS II score has a sensitivity of 80% and a specificity of 91.8% with the cut-off value of 5.55, while APACHE II has a sensitivity of 75.9% and a specificity of 87.4% with the cut-off value of 16.5 in predicting mortality.

Conclusion: Expanded SAPS II and APACHE II scores have good ability to predict in-hospital mortality in CCU patients. Therefore, they can be used as a tool to predict short-term mortality in cardiovascular emergencies.

Keywords: APACHE II; Coronary care unit; Expanded SAPS II; Mortality.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest There is not any commercial association that might pose a conflict of interest in connection with this manuscript.

Similar articles

See all similar articles

Cited by

LinkOut - more resources