The Value of APACHE III System in Pediatric Patients with Cardiopulmonary Failure After Open Heart Surgery

Semih BARLAS , Emin TİRELİ, Haldun TEKİNALP , Mustafa KARSLI, A. Suha DAĞLI, Enver DAYIOĞLU, Cemil BARLAS

İstanbul Üniversitesi İstanbul Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul

In an effort to compare and stardardize the efficacy of various scoring systems in the assessment of morbidity and the need for intensive therapy in the pediatric intensive care units, we have studied the postoperative data of 75 pediatric cardiac cases in whom the need for inotropic support was longer than 24 hours. With APACHE III and modified III systems that were designed for adult cases, high mortality rates have been noted and the PRISM scoring system was found to be insensitive in pediatric usage. We have modified the APACHE III system according to age and thus achieved optimal scores in prediction. However, the modified APACHE III system still needs further revisions for applications in open heart surgery.

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