Last edited 1 month ago by C n w i l l i a m s
SAPS II
S A P S I I is a severity of disease classification system (Le Gall,
Lemeshow, Saulnier, 1993). Its name stands for "Simplified Acute
Physiology Score", and is one of several ICU scoring systems.
Co n t e n t s
Application
Calculation
References
Application
SAPS II was designed to measure the severity of disease for patients
admitted to Intensive care units aged 15 or more.
24 hours after admission to the ICU, the measurement has been
completed and resulted in an integer point score between 0 and 163
and a predicted mortality between 0% and 100%. No new score can be
calculated during the stay. If a patient is discharged from the ICU and
readmitted, a new SAPS II score can be calculated.
This scoring system is mostly used to:
describe the morbidity of a patient when comparing the outcome with
other patients.
describe the morbidity of a group of patients when comparing the
outcome with another group of patients
Calculation
The point score is calculated from 12 routine physiological
measurements during the first 24 hours, information about previous
health status and some information obtained at admission.
The parameters are:
Age
Heart Rate
Systolic Blood Pressure
Temperature
Glasgow Coma Scale
Mechanical Ventilation or CPAP
PaO2
FiO2
Urine Output
Blood Urea Nitrogen
Sodium
Potassium
Bicarbonate
Bilirubin
White Blood Cell
Chronic diseases
Type of admission
The calculation method is optimized for paper schemas. In contrast to
APACHE II, the resulting value is much better at comparing patients
with different diseases[citation needed].
The calculation method results in a predicted mortality, that is pure
statistics. It does not tell the individual patient's chance of survival. The
main purpose of this calculation is to provide a value that can be
averaged for a group of patients, since it gives very unprecise values to
calculate an average of the scores of a group of patients[citation needed].
References
Jean-Roger Le Gall, MD; Stanley Lemeshow, PhD; Fabienne Saulnier,
MD. (1993). A New Simplified Acute Physiology Score (SAPS II) Based
on a European/North American Multicenter Study. JAMA.
1993;270:2957-2963 This is the first published description of the scoring
system
Commonly used website to calculate a SAPS II score
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