@article{oai:u-ryukyu.repo.nii.ac.jp:02016066, author = {Nagahama, Masayoshi and Shimabuku, Masamori and Miyazato, Hiroshi and Isa, Tsutomu and Shiraishi, Masayuki and Muto, Yoshihiro}, issue = {1}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {The purpose of this study was to analyze the predictive value of various preoperative clinical and laboratory data on the operative outcomes based on the APACHE (acute physiology and chronic health evaluation) score and sepsis score systems. From January 1991 to December 1995, 34 consecutive operations were performed on 34 patients with acute abdomen. We retrospectively studied the clinical and laboratory data based on the medical records of these patients within a 48-hour period before operation. The APACHE II classification system and sepsis grading system were thus applied to the 34 patients. Each attribute was scored and the sum of all scores was considered to represent the total effect of the acute abdomen state on the patient. Five of these patients (nonsurvivors=5) died, whereas the remaining patients (survivors=29) survived. The sum of the APACHE II score in the nonsurvivor group ($20.4 \pm 1.63$, range 18-24) was significantly higher than in the survivor group ($12.45 \pm 2.45$, range 8-18, p<0.05). The sum of the sepsis score in the nonsurvivor group ($25.6 \pm 7.25$, range 17-35) was also significantly higher than in the survivor group ($5.21 \pm 3.32$, range 2-14, p<0.05). By these two scoring systems we can therefore assess an individual patient's operative outcome more accurately., 論文}, pages = {7--9}, title = {[原著]Correlations of the APACHE II score and sepsis score to the clinical outcome in patients with acute abdomen}, volume = {19}, year = {1999} }