Letters

Continuing to use APACHE II scores ensures consistency

BMJ 2000; 321 doi: http://dx.doi.org/10.1136/bmj.321.7257.383/a (Published 05 August 2000) Cite this as: BMJ 2000;321:383
  1. William Konarzewski ([email protected]), clinical director of intensive care
  1. Anaesthetic Department, Colchester General Hospital, Colchester, Essex CO4 5JL

    EDITOR—Shann criticises the use of the APACHE II scoring system as an audit tool for intensive care performance.1 He has two main arguments. Firstly, he says that the system is outdated in that it reflects North American standards in the early 1980s. Secondly, he says that it can mask substandard intensive care performance by magnifying the risk of death in the poorer intensive care …

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