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March 3, 1989

Who Will Die in the ICU? APACHE II, ROC Curve Analysis, and, of Course, Cleone

Author Affiliations

Mills Hospital San Mateo, Calif

Mills Hospital San Mateo, Calif

JAMA. 1989;261(9):1279. doi:10.1001/jama.1989.03420090043024

To the Editor.—  While the article by Kruse et al1 indicates that clinical assessment is as efficient as the APACHE II in predicting mortality in the intensive care unit, it merely confirms the validity of Cleone's Law2: "Any patient in the ICU with more than three different consultants probably will not survive." (Cleone Lawrence is an intensive care unit/critical care unit nurse at Mills Hospital, San Mateo, Calif.)