Mortality Predicting Calculators used in ICU
Keywords:
ICU, Predicting Calculators, MortalityAbstract
Diseases are constantly present, like a persistent companion, and their effects serve as a reminder of their presence. We all have to address medical needs in some way or other. Disease can be classified as general illness, severe or chronic disease. General illness needs normal attention though severe or chronic disease needs much attention because critically ill patients have a potential risk of death. It happens that chronic disease may lead to patient admission in ICU.
The stay of the patient into ICU and likelihood of mortality can be predicted in many ways ranging from manual to automated prediction. Manual prediction requires experienced doctors though if supplied with right parameters, the same can be done by system i.e., application-based procedure.
Predicting the likelihood of mortality has been a cornerstone of medical decision-making for centuries. With advancements in healthcare technology and data science, we can now leverage sophisticated models to predict a patient's likelihood of mortality, length of ICU stay and usage of mechanical ventilator with increased accuracy.
Different Medical calculators like SOFA, SAPS, APACHE, MPM, GCS etc. are in use to predict the likelihood of mortality these days. Their accuracy can be calculated before manually and later automatically and now AI-assisted
Downloads
Metrics
References
W. A. Knaus, “APACHE 1978-2001: The Development of a Quality Assurance System Based on Prognosis,” Archives of Surgery, vol. 137, no. 1, Jan. 2002, doi: https://doi.org/10.1001/archsurg.137.1.37
Wong DT, Knaus WA. Predicting outcome in critical care: the current status of the APACHE prognostic scoring system. Can J Anaesth. 1991 Apr;38(3):374–83. doi: https://doi.org/10.1007/bf03007629
Rapsang AG, Shyam DC. Scoring systems in the intensive care unit: A compendium. Indian J Crit Care Med. 2014 Apr;18(4):220–8. doi: https://doi.org/10.4103/0972-5229.130573
Knaus W. APACHE II Score. MDCalc [Internet]. Available from: https://www.mdcalc.com/calc/1868/apache-ii-score
APACHE II. Dimens Crit Care Nurs. 1986 Mar;5(2):125. doi: https://doi.org/10.1097/00003465-198603000-00013
Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985 Oct;13(10):818–29. doi: 10.1097/00003246-198510000-00009
Knaus WA, Wagner DP, Draper EA, et al. The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults. Chest. 1991 Dec;100(6):1619–36. doi: 10.1378/chest.100.6.1619
Zimmerman JE, Kramer AA, McNair DS, Malila FM. Acute Physiology and Chronic Health Evaluation (APACHE) IV: Hospital mortality assessment for today's critically ill patients. Crit Care Med. 2006 May;34(5):1297–310. doi: 10.1097/01.CCM.0000215112.84523.F0
Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE—acute physiology and chronic health evaluation: a physiologically based classification system. Crit Care Med. 1981 Aug;9(8):591–7. doi: 10.1097/00003246-198108000-00008
Knaus WA, Wagner DP, Draper EA, et al. The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults. Chest. 1991 Dec;100(6):1619–36. doi: 10.1378/chest.100.6.1619
Wang Z, et al. Developing an explainable machine learning model to predict the mechanical ventilation duration of patients with ARDS in intensive care units. Heart Lung. 2023 Mar;58:74–81. doi: https://doi.org/10.1016/j.hrtlng.2022.11.005
Aczon MD, Ledbetter DR, Laksana E, Ho LV, Wetzel RC. Continuous prediction of mortality in the PICU: A recurrent neural network model in a single-center dataset. Pediatr Crit Care Med. 2021 Jan;22(6):519–29. doi: https://doi.org/10.1097/PCC.0000000000002682
Kim JH, Kwon YS, Baek MS. Machine learning models to predict 30-day mortality in mechanically ventilated patients. J Clin Med. 2021 May;10(10):2172. doi: https://doi.org/10.3390/jcm10102172.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.