Intended for healthcare professionals


Mortality prediction model is preferable to APACHE

BMJ 2000; 320 doi: (Published 11 March 2000) Cite this as: BMJ 2000;320:714
  1. Frank Shann, director of intensive care (
  1. ntensive Care Unit, Royal Children's Hospital, Melbourne 3052, Australia

    EDITOR—In their article on scoring systems in intensive care, Gunning and Rowan provide a detailed description of the APACHE II mortality prediction model.1 This model was developed with data collected between 1979 and 1982 and was replaced by APACHE III in 1991.2 Unfortunately, there is a substantial charge for using APACHE III;thus many intensive care units continue using the outdated APACHE II, but do you really want to compare your standard of care with that delivered by North American units 20 years ago?

    There …

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