Patient selection: adult >= 60 years of age
Parameters scored absent or present:
(1) cerebrovascular accident or transient ischemia attack (TIA)
(2) impaired cognition (demention, Alzheimer’s disease, other)
(3) history of recurrent falls
(4) diabetes mellitus not controlled by diet
(5) history of syncope or blackouts
(6) psychotic disorder (bipolar disease, paranoia, schizophrenia, posttraumatic stress disorder)
(7) thyroid disease
(8) history of seizures
(9) depression
(10) history of malignancy
(11) decubitus ulcer
(12) congestive heart disease (CHF)
(13) cardiac disease (coronary artery disease, aortic stenosis, mitral valve prolapse, arrhythmia)
(14) history of myocardial infarction
(15) urinary incontinence
(16) Parkinson’s disease
(17) acute or chronic renal disease
(18) respiratory disease (COPD, emphysema, obstructive sleep apnea, bronchitis, etc)
|
Response
|
Points
|
|
absent
|
0
|
|
present
|
1
|
Parameter with more than one response:
(1) ambulatory status
|
Response
|
Points
|
|
ambulatory without assistive device
|
0
|
|
ambulatory with walker or cane
|
1
|
|
nonambulatory, uses scooter or wheelchair
|
2
|
total score =
= SUM(points for all 19 items)
Interpretation:
• minimum score: 0
• maximum score: 20
• The higher the score the greater the mortality.
• A score >= 4 was associated with odds ratio of 5 for 1 year mortality after femoral neck fracture.
