⚕️ For clinical reference only. Not a substitute for professional judgment.

APACHE II Score ICU

Acute Physiology and Chronic Health Evaluation II — predicts ICU mortality using worst values in first 24 hours.

Select parameters
Complete all sections to calculate predicted mortality.

Acute Physiology Score (APS)

APS points = 15 − GCS

Age Points

Chronic Health Points

When to use
  • ICU admission — use worst values in first 24 hours
  • Comparing patient acuity and benchmarking outcomes
  • Research and quality improvement in critical care
  • Not designed for serial monitoring — use SOFA for that
Formula
APACHE II = APS (12 variables) + Age points + Chronic health points Range: 0–71 Mortality rises from ~4% (score 0–4) to >85% (score ≥35)
References
  • Knaus WA et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985.