Conclusion
There are already available scoring systems which take age into account as an important variable along with a large number of other outcome determinants. Thus, if by agism we mean the discrimination against the elderly solely on the grounds of their being old, the APACHE-system is not agist. However, in this respect, scoring systems need refinement, as attempted in the third version of APACHE. Finally, it should be remembered that these scoring systems are not intended to replace but to supplement clinical judgement.
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Niskanen, M., Niskanen, L. Is the Acute Physiology and Chronic Health Evaluation (APACHE) Scale Agist?. Drugs & Aging 5, 153–155 (1994). https://doi.org/10.2165/00002512-199405030-00001
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DOI: https://doi.org/10.2165/00002512-199405030-00001