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Nursing
QUESTION #9236
Question 1
Which scoring system is used to assess severity of illness and predict ICU mortality using physiological variables collected within the first 24 hours of ICU admission?
Correct Answer Explanation
Correct Answer: C — APACHE II Score
ICU Severity Scoring Systems:
APACHE II uses 12 physiological variables (temperature, MAP, HR, RR, oxygenation, pH, Na\(^+\), K\(^+\), creatinine, hematocrit, WBC, GCS) + age + chronic health points. Maximum score = 71; higher score = higher predicted mortality.
ICU Severity Scoring Systems:
| Score | Full Name | Use |
|---|---|---|
| APACHE II | Acute Physiology and Chronic Health Evaluation II | ICU mortality prediction (first 24h data) |
| SOFA | Sequential Organ Failure Assessment | Organ failure tracking, sepsis diagnosis |
| SAPS II | Simplified Acute Physiology Score II | ICU outcome prediction |
| CURB-65 | — | Pneumonia severity (community setting) |
| GCS | Glasgow Coma Scale | Neurological status, not general ICU severity |
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