2002•Zhonghua weizhongbing jijiu yixueRequires access
Comparative study on the value of acute physiology and chronic health evaluation and Glasgow coma scale applied in patients with severe head trauma
Peng Ninga
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Abstract
Objective:To approach the feasibility and value of acute physiology and chronic health evaluation(APACHE)system applied in patients with severe head trauma.Methods:The comparative study of APACHEⅡ APACHEⅢ and Glasgow coma scale(GCS) used in 95 patients with severe head trauma were performed prospectively,randomly.Results:The three scores were closely related to the mortality and there were significantly scores differences between the survivors and nonsurvivors( P 0 01).APACHE Ⅱ and APACHE Ⅲ, especially APACHE Ⅱ,were superior to GCS.Conclusions:APACHE scoring system can be used not only to evaluate the severity of patients with head trauma,but also to predict correctly the prognosis of the patients.