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The acronym APACHE stands for Acute Physiologic and Chronic Health Evaluation.


The APACHE scoring system has been widely used in the United States and other parts of the world as part of injury severity scale.


APACHE II is the most widely studied version of this instrument

APACHE III is proprietary and is not freely available, whereas APACHE II is publicly available

APACHE IV was published in 2006, and is the latest version

Components in APACHE II

  • it derives a severity score from such factors as underlying disease and chronic health status.
  • Other points are added for 12 physiologic variables (i.e., hematocrit, creatinine, Glasgow Coma Score, mean arterial pressure) measured within 24 hours of admission to the ICU.


The APACHE II score has been validated in several studies involving tens of thousands of ICU patients.

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