Fernando et al reported the Australian Injury Comorbidity Index (AICI) for evaluating an injured patient admitted to the hospital. One scoring identifies patients at risk for 1-year mortality. The authors are from Monash University and the Victorian Agency for Health Information in Australia.
Patient selection: injury-related hospital admission
Parameters:
(1) drug dependence
(2) any malignancy
(3) cardiac arrhythmia
(4) chronic obstructive pulmonary disease (COPD)
(5) coagulopathy
(6) congestive heart failure (CHF)
(7) deficiency anemia
(8) dementia
(9) diabetes (with or without complications)
(10) hemiplegia or paraplegia
(11) metastatic solid tumor
(12) mild, moderate or severe liver disease
(13) myocardial infarction (AMI)
(14) peripheral vascular disease
(15) psychosis
(16) pulmonary circulatory disorder
(17) renal disease (including renal failure)
|
Parameter
|
Finding
|
Points
|
|
drug dependence
|
no
|
0
|
|
|
yes
|
1
|
|
any malignancy
|
no
|
0
|
|
|
yes
|
1
|
|
cardiac arrhythmia
|
no
|
0
|
|
|
yes
|
1
|
|
COPD
|
no
|
0
|
|
|
yes
|
1
|
|
coagulopathy
|
no
|
0
|
|
|
yes
|
1
|
|
congestive heart failure
|
no
|
0
|
|
|
yes
|
1
|
|
deficiency anemia
|
no
|
0
|
|
|
yes
|
1
|
|
dementia
|
no
|
0
|
|
|
yes
|
1
|
|
diabetes
|
no
|
0
|
|
|
yes
|
1
|
|
hemiplegia or paraplegia
|
no
|
0
|
|
|
yes
|
1
|
|
metastatic solid tumor
|
no
|
0
|
|
|
yes
|
1
|
|
liver disease
|
no
|
0
|
|
|
yes
|
1
|
|
myocardial infarction
|
no
|
0
|
|
|
yes
|
1
|
|
peripheral vascular disease
|
no
|
0
|
|
|
yes
|
1
|
|
psychosis
|
no
|
0
|
|
|
yes
|
1
|
|
pulmonary circulatory disorder
|
no
|
0
|
|
|
yes
|
1
|
|
renal disease
|
no
|
0
|
|
|
yes
|
1
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 17 (article reports 19but includes double counts for diabetes and liver disease; if any malignancy and metatastic cancer are counted only once, then the maximum score is 16)
• The higher the score the greater the risk of 1-year mortality.
