Fernando et al reported the Australian Injury Comorbidity Index (AICI) for evaluating an injured patient admitted to the hospital. One version uses weighted scores to predict 1-year mortality based on data in Victoria. The authors are from Monash University and the Victorian Agency for Health Information in Australia.
Patient selection: injury-related hospital admission
Parameters:
(1) HIV/AIDS
(2) alcohol dependence
(3) any malignancy
(4) cardiac arrhythmia
(5) cerebrovascular disease
(6) chronic obstructive pulmonary disease (COPD)
(7) coagulopathy
(8) congestive heart failure (CHF)
(9) diabetes with chronic complications
(10) uncomplicated hypertension
(11) hypothyroidism
(12) metastatic solid tumor
(13) mildliver disease
(14) obesity
(15) psychosis
(16) peptic ulcer disease
(17) peripheral vascular disease
Parameter
Finding
Points
HIV/AIDS
no
0
yes
2
alcohol dependence
no
0
yes
7
any malignancy
no
0
yes
1
cardiac arrhythmia
no
0
yes
2
cerebrovascular disease
no
0
yes
2
COPD
no
0
yes
2
coagulopathy
no
0
yes
1
congestive heart failure
no
0
yes
3
diabetes with complications
no
0
yes
2
uncomplicated hypertension
no
0
yes
5
hypothyroidism
no
0
yes
3
metastatic solid tumor
no
0
yes
6
mild liver disease
no
0
yes
2
obesity
no
0
yes
2
psychosis
no
0
yes
2
peptic ulcer disease
no
0
yes
2
peripheral vascular disease
no
0
yes
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 46
• The higher the score the greater the risk of 1-year mortality.
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