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 30-day mortality. The authors are from Monash University and the Victorian Agency for Health Information in Australia.
Patient selection: injury-related hospital admission
Parameters:
(1) any malignancy
(2) cardiac arrhythmia
(3) cerebrovascular disease
(4) chronic obstructive pulmonary disease (COPD)
(5) coagulopathy
(6) congestive heart failure (CHF)
(7) dementia
(8) metastatic solid tumor
(9) mild, moderate or severe liver disease
(10) myocardial infarction (AMI)
(11) peripheral vascular disease
(12) renal disease (including renal failure)
|
Parameter
|
Finding
|
Points
|
|
any malignancy
|
no
|
0
|
|
|
yes
|
1
|
|
cardiac arrhythmia
|
no
|
0
|
|
|
yes
|
1
|
|
cerebrovascular disease
|
no
|
0
|
|
|
yes
|
1
|
|
COPD
|
no
|
0
|
|
|
yes
|
1
|
|
coagulopathy
|
no
|
0
|
|
|
yes
|
1
|
|
congestive heart failure
|
no
|
0
|
|
|
yes
|
1
|
|
dementia
|
no
|
0
|
|
|
yes
|
1
|
|
metastatic liver disease
|
no
|
0
|
|
|
yes
|
1
|
|
liver disease
|
no
|
0
|
|
|
yes
|
1
|
|
myocardial infarction
|
no
|
0
|
|
|
yes
|
1
|
|
peripheral vascular disease
|
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: 12 (article reports 13 but this involves separate scoring of mild and moderate/severe liver disease)
• The higher the score the greater the risk of 30-day mortality.
