Computerised real time automatic SAPS APACHE and SOFA score calculation and display system
ICU SCORING SYSTEM
MR. NAVID IQBAL ,Dr Deepak Agarwal
NURSE INFORMATICS SPECIALIST
ICU Scoring system started at April
It was developed by JPNATC itself.
It is calculates score the severity of
disease and the prognosis of patients in
It is used by doctors & ICU Nurses.
Types of ICU scoring
APACHE SCORE :-Acute Physiology And Chronic
SOFA SCORE :-Sequential Organ failure
SPA SCORE :-Simplified Acute Physiology Score
• APACHE SCORE :-Acute Physiology And Chronic
• SOFA SCORE :-Sequential Organ failure Assessment
• SPA SCORE :-Simplified Acute Physiology Score
Acute Physiologic and Chronic Health
Evaluation (APACHE) II system- APACHE II
was designed to provide a morbidity score for
It is useful to decide what kind of treatment or
medicine is given.
Simplified Acute Physiologic Score - SAPS
was designed to provide a predicted
mortality, that does not reflect the expected
mortality for a particular patient, but is good for
In a rather simple way, it makes it possible to
provide a single number that describes the
morbidity of a number of patients.
Sequential organ failure Assessment Score
- SOFA was designed to provide a
simple, daily score that indicates how the
status of patient evolves over time
ROLE OF NIS
Provide training to nursing staff and lab staff.
To promote the staff for vital entry.
To detect software problem and inform to
software programmer .
Easy to use.
Easy to assess severity of patient.
Easy to assess ICU performance .
It shows data in graphical format.
It is helpful for clinical
decision, research, and comparing the
quality of patient care across ICUs.
One of the biggest challenges faced in the
implementation of this software was to train
the nurses on how to use computers and also
to make them familiar and confident in
implementing the software.
There is 100% compliance in neuro ICU.
Automatic calculation of these scores
(apache, saps, sofa) can dramatically reduce
the workload on doctors and nurses.
Nurses can the major helps by entering the
most of the variables so that continues
calculation is possible of the ICU patients.