Critical CareAdvanced

APACHE II Score (ICU Mortality)

Estimates ICU illness severity and in-hospital mortality risk.

Clinical Parameters

14 Variables

Awaiting Clinical Parameters

Configure the patient variables on the left and select Calculate Result to generate the clinical score and stratification.

Verified 2026 GuidelinesInstant Calculation
Jump to Formula & Clinical Protocol ↓
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High Yield Prometric TopicCritical Care & Emergency

Tested on Gulf Medical Boards (DHA, SMLE, MOH & HAAD)

Clinical calculations and diagnostic scoring systems like APACHE II Score (ICU Mortality) frequently appear on Prometric exams. Master high-yield clinical vignettes with instant AI-powered pathophysiology rationales.

Clinical Significance & Diagnostic Standard
2026 Clinical Reference

What is the APACHE II Score (ICU Mortality)?

📋Clinical Summary & Definition Capsule

The APACHE II Score (ICU Mortality) is an evidence-based clinical decision rule engineered to quantify diagnostic probability, stratify clinical severity, and guide therapeutic decision-making in critical care & emergency practice. The APACHE II (Acute Physiology and Chronic Health Evaluation II) is the most widely validated ICU scoring system. Calculated from 12 routine physiological variables within the first 24 hours of ICU admission, plus age and chronic health status. Clinical scoring tools like APACHE II Score (ICU Mortality) are essential in acute and outpatient management, enabling clinicians to objectively differentiate between low-risk candidates suitable for conservative therapy and high-risk patients requiring urgent interventions. Verified against current 2026 clinical standards, this tool is extensively tested on Gulf health authority licensing exams including DHA (Dubai), SMLE (Saudi Arabia), MOH, HAAD/DOH (Abu Dhabi), OMSB (Oman), and QCHP (Qatar).

💡Clinical Pearls & Diagnostic Utility

The benchmark scoring system used globally in clinical trials, ICU quality assurance, and patient prognosis stratification upon intensive care admission.

Mathematical Formulation

Formula & Calculation Parameters

The mathematical equation and clinical variables required to calculate APACHE II Score (ICU Mortality):

APACHE II Score = Acute Physiology Score (12 variables + [15 - GCS]) + Age Points (0-6) + Chronic Health Points (0-5)
Risk Stratification

Score Interpretation & Clinical Stratification

Score RangeClinical InterpretationRisk Tier
≤ 9Low ICU Mortality (< 10%)green
10 – 19Moderate ICU Mortality (15% - 25%)yellow
20 – 29High ICU Mortality (40% - 55%)orange
≥ 30Very High ICU Mortality (≥ 75%)red
Clinical Limitations & Contraindications

When to Exercise Caution

Calculated using the worst values recorded during the initial 24 hours of ICU admission; cannot be used to assess instantaneous minute-to-minute changes.

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Medical Review & Guidelines Compliance
MD

Clinical Review Board

Dr. Muhammad Nouman, MBBS

Capital Medical University | PMDC Reg No: 117744-P

Clinical Audit Status

✓ Verified for 2026 Guidelines

Last updated: 2026-08-07

Peer-Reviewed Medical Literature

  • Knaus WA, et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13(10):818-829.
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