The Relationship between APACHE II Score and Mortality Among Patients with Stroke

Valid indices and optimal models in predicting mortality rates among patients hospitalized in the emergency department have attracted much attention due to the wide use of mortality prediction instruments and the differences in the prediction result and hospitalization outcome for patients with stroke with disease severity tools. The present study aims to determine the relationship between APACHE II mean score and mortality among patients with stroke admitted to the emergency department in Shohadaye Ashayer Hospital in ۲۰۲۲. To conduct this prospective descriptive cross-sectional study, the information related to ۲۷۳ patients with stroke admitted to the emergency department of the specialized neurology center in Shohadaye Ashayer Hospital in Khorramabad was utilized non-randomly, sequentially, and conveniently by applying the data collection tools during ۲۰۲۲. Demographic data, laboratory values, vital signs, and hospitalization outcomes in the emergency department during the first ۲۴ hours were employed to calculate the APACHE II score. Based on univariate logistic regression model analysis, a significant relationship was observed between the APACHE II score with mortality among patients with stroke (P<۰.۰۰۱). In other words, the APACHE II predicted the mortality rate among patients with stroke accurately. The results revealed that the APACHE II accurately predicts the mortality rate and prioritizes patients with stroke for allocating treatment resources.

Keywords:

Stroke , APACHE II , Emergency Department , mortality