TY  - JOUR
TI  - Comparison of APACHE II and Modified Charlson Index in Mortality Prediction in Patients at Medical Intensive Care Unit
AB  - Acute Physiology and Chronic Health Evaluation II (APACHE II) and Modified Charlson Index (MCI) are used to predict the fatality in intensive care units (ICU). We aimed to investigate the difference between these scores in the prediction of fatality in the medical intensive care unit. Our study is important because in our literature overview, this study is one of the rare studies that compares these scoring systems. 108 ICU patients included. In all subjects APACHE II and MCI performed. Procalcitonin, C-reactive protein(CRP) levels of patients were recorded. Patients were then grouped according to mechanically ventilated or not; mortality happened or not. Statistically significance found in age(p<0.045), mechanical ventilation, procalcitonin, CRP and MCI (p<0.001)  about  mortality . MCI sensitivity and specifity were higher than APACHE II in %95 confidance interval. Area under curve in ROC analysis was CRP (0.728), Procalcitonin (0.719), MCI (0.686), APACHE II (0.665)  respectively. Our study demonstrates that the Modified Charlson Index combined with procalcitonin and CRP can be used for predicting mortality in medical ICU as well as APACHE II 
AU  - KAPLAN EFE, FATMA
AU  - IYNEM, Hatice Kevser
AU  - Beyan, Esin
AU  - Bulur, Oktay
AU  - KOC, SULEYMAN
DO  - 10.20515/otd.997570
PY  - 2022
JO  - Osmangazi Tıp Dergisi
VL  - 44
IS  - 3
SN  - 1305-4953
SP  - 317
EP  - 322
DB  - TRDizin
UR  - http://search/yayin/detay/1118937
ER  -