The Relationship between APACHE II Score and Mortality Among Patients with Stroke

Bakhshi, Peyman; Fakhri, Sara; Heidarizadeh, Khadijeh; Kordestani-Moghadam, Parastou; Mokhayeri, Yaser

doi:10.22087/ijac.2022.443940.1008

The Relationship between APACHE II Score and Mortality Among Patients with Stroke

Document Type : Research

Authors

Peyman Bakhshi ¹

Sara Fakhri ²

Khadijeh Heidarizadeh ³

Parastou Kordestani-Moghadam ³

Yaser Mokhayeri ⁴

¹ Student Research Committee, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran

² Lorestan University of Medical Sciences Faculty of Khorramabad Medicine

³ Critical care and Emergency Nursing, Faculty of Nursing & Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran

⁴ Assistant professor, PhD in epidemiology and member of the Faculty of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran

10.22087/ijac.2022.443940.1008

Abstract

Valid indices and optimal models in predicting mortality rates among patients hospitalized in the emergency department have attracted much attention due to the wide use of mortality prediction instruments and the differences in the prediction result and hospitalization outcome for patients with stroke with disease severity tools. The present study aims to determine the relationship between APACHE II mean score and mortality among patients with stroke admitted to the emergency department in Shohadaye Ashayer Hospital in 2022. To conduct this prospective descriptive cross-sectional study, the information related to 273 patients with stroke admitted to the emergency department of the specialized neurology center in Shohadaye Ashayer Hospital in Khorramabad was utilized non-randomly, sequentially, and conveniently by applying the data collection tools during 2022. Demographic data, laboratory values, vital signs, and hospitalization outcomes in the emergency department during the first 24 hours were employed to calculate the APACHE II score. Based on univariate logistic regression model analysis, a significant relationship was observed between the APACHE II score with mortality among patients with stroke (P<0.001). In other words, the APACHE II predicted the mortality rate among patients with stroke accurately. The results revealed that the APACHE II accurately predicts the mortality rate and prioritizes patients with stroke for allocating treatment resources.

Keywords

Stroke

APACHE II

Emergency Department

Mortality

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