Acute Physiology And Chronic Health Evaluation
Full Form of APACHE
What is APACHE?
APACHE (Acute Physiology And Chronic Health Evaluation) is a severity-of-disease classification system used in intensive care units (ICUs) to predict mortality risk and guide treatment decisions. Originally developed in the 1980s and refined through versions like APACHE II and APACHE III, it scores patients based on 12 routine physiological measurements (e.g., temperature, heart rate, blood pressure, oxygenation) along with age and pre-existing chronic health conditions. In India, APACHE is widely adopted in major hospitals and teaching institutions to standardize ICU assessments, compare outcomes across centers, and allocate resources efficiently. It is typically applied within the first 24 hours of ICU admission and recalculated as the patient’s condition changes. Medical students and residents often encounter APACHE during their critical care rotations, and questions on its components and interpretation appear in postgraduate entrance exams like NEET PG and AIIMS. Understanding APACHE helps clinicians objectively communicate illness severity to families and colleagues. Its role in Indian healthcare continues to grow with the expansion of critical care facilities in both urban and rural settings.
APACHE का फुल फॉर्म
तीव्र शारीरिक क्रिया एवं दीर्घकालिक स्वास्थ्य मूल्यांकन
Example
The attending physician noted the patient's APACHE II score of 22, which corresponded to a predicted hospital mortality of 35%.