Apache II
Acute Physiology, Age, and Chronic Health Evaluation system 
INTRODUCTION
micro Services is very pleased to announce a low cost data management system for the collection and processing of APACHE equation data.
This program allows your staff to efficiently enter valid data and process the data using the APACHE II equation. Micro services software was used exclusively by Alameda county Medical center to process over 17,000 ICU admissions From 1997. All use of the word "APACHE" are related to these words."Acute Physiology, Age, and Chronic Health Evaluation "
The software used on wireless carts and data was entered at the patient bedside.
The software can run single user or server based either client server or terminal server .
This software has its own multi user database or can be adapted to a mySql or SQL server database.
The typical requirements are
Windows XP or Later on the workstation.
A Microsoft server 2003 or later.
50 megabytes of server storage space with an additional 10 megs per year of data based on 5000 records per year.
Customization and interfaces to either a bar code reader or your master patient database are feasible and offered on a T& M basis and are feasible only if your HIS systems providers will allow. We can read from any ODBC source.
Sample Report
This service Surgery
Diagnosis Diagscor # PTS. IA Avg. PM Avg Actua Mort Expired
Postop -- Other cardi 118 355 11.4958 10.4648 10.4225 37
GI perforation/obstru 116 176 12.7443 19.1852 9.0909 16
Postop -- Other gastr 120 150 14.5600 17.9960 6.6667 10
Cardiovascular failur 26 150 18.5733 35.7647 26.0000 39
Peripheral vascular s 103 148 8.5946 4.3527 2.7027 4
GI surgery for neopla 114 143 11.8392 16.3280 11.8881 17
Postop -- Other respi 119 117 10.1282 10.9718 5.1282 6
Thoracic surgery for 109 97 10.8041 10.2969 1.0309 1
Other GI causes 50 89 10.9213 19.7101 14.6067 13
Other cardiovascular 20 81 10.0617 18.7901 8.6420 7
Other Respiratory Cau 10 77 11.7532 11.5377 11.6883 9
Other metabolic/renal 40 70 11.4286 9.3300 1.4286 1
Respiratory insuffici 115 32 12.8125 18.9844 3.1250 1
GI bleed 51 25 13.4400 25.0880 20.0000 5
Other neurological ca 30 18 10.3889 8.0333 5.5556 1
Respiratory failure f 18 17 16.4118 44.9706 17.6471 3
Postop -- Other metab 121 17 9.3529 16.9176 0 0
Multiple trauma 101 15 13.3333 9.7800 6.6667 1
Respiratory failure f 17 15 17.2000 30.4200 6.6667 1
Renal surgery for neo 106 13 10.7692 5.1923 0 0
Coronary artery disea 25 11 14.0000 21.4545 36.3636 4
Cardio. failure from 24 11 16.7273 36.9364 27.2727 3
Hemorrhagic shock 112 11 14.5455 15.0727 18.1818 2
Cardiovascular failur 22 10 12.7000 6.6500 0 0
Postcardiac arrest 27 8 27.1250 70.3375 75.0000 6
Resp. failure from as 15 8 17.5000 30.4000 12.5000 1
Postrespiratory arres 14 6 25.3333 47.2833 50.0000 3
GI bleeding 113 6 15.6667 28.5667 0 0
ICH/SDH/SAH 32 5 14.6000 28.3200 20.0000 1
Dissecting thoracic/a 29 5 21.6000 50.2600 40.0000 2
Cardiovascular failur 23 4 12.2500 13.8250 0 0
Pulmonary embolus 16 4 17.5000 32.0000 25.0000 1
Respiratory failure f 12 3 19.0000 28.2333 33.3333 1
Laminectomy and other 111 2 13.5000 10.6500 0 0
Seizure disorder 31 2 10.5000 9.1000 0 0
Cardiovascular failur 21 2 16.0000 5.3500 0 0
Cardiogenic shock 28 2 27.0000 54.2000 100.0000 2
Postop -- Other neuro 117 2 19.0000 26.3500 50.0000 1
Heart valve surgery 104 1 18.0000 17.6000 0 0
Respiratory failure f 11 1 9.0000 1.5000 0 0
Diabetic ketoacidosis 42 1 9.0000 3.8000 0 0
Service Statistics
Total Count this service = 1910
Total this service actual dead = 199
Total this service actual alive = 1710
Total this Service actual Unknown = 1
Average this Service Initial APACHE = 12
Average predicted mortality this service 16 %
Total this Service average actual mortality = 10 %
Total this Service average length of stay = 4
