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The results showed that APACHE-IV model underestimated length of stay in our emergency ICU (p<0.001). The length of stay in the ICU was 10.98☑4.60, 10.22 ± 14.21 and 14.30☑5.80 days for all patients, survivors, and non-survivors, respectively. Results: Of the studied patients, 157 died and 682 were discharged (non-survivors and survivors, respectively). Moreover, the accuracy of APACHE-IV for mortality was assessed using area under the Receiver Operator Characteristic (ROC) curve. Length of stay and death or discharge, Glasgow coma score, and acute physiology score were also evaluated.
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The relevant variables were used to calculate APACHE-IV. Methods: This was a retrospective cohort study conducted on the data of 839 consecutive patients admitted to the emergency ICU of Nemazi Hospital, Shiraz, Iran, during 2012-2015. This study aimed to evaluate the hypothesis that the mortality and length of stay in emergency ICUs predicted by APACHE-IV is different to the real rates of mortality and length of stay observed in our emergency ICU in Iran. A disease severity scoring system can be used as guidance for clinicians for objective assessment of disease outcomes and estimation of the chance of recovery. Background: Clinical assessment of disease severity is an important part of medical practice for prediction of mortality and morbidity in Intensive Care Unit (ICU).
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