APACHE scoring and prediction of survival in intensive care

doi:10.1136/bmj.310.6988.1197b

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S N Pilkington

Senior registrar Department of Intensive Care Medicine, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY

EDITOR,—We are disappointed that Minerva has fallen into the same trap as others before her in misconstruing the role of the acute physiology and chronic health evaluation (APACHE) score in critically ill patients.1 Although the APACHE systems can be used to provide information on the risks of death for a group of patients suffering from a specific disease category that may require admission to an …