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 30-day 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) alcohol dependence
(2) any malignancy
(3) blood loss anemia
(4) cardiac arrhythmia
(5) cerebrovascular disease
(6) chronic obstructive pulmonary disease (COPD)
(7) congestive heart failure (CHF)
(8) uncomplicated hypertension
(9) hypothyroidism
(10) metastatic solid tumor
(11) mildliver disease
(12) obesity
(13) psychosis
Parameter
Finding
Points
alcohol dependence
no
0
yes
3
any malignancy
no
0
yes
1
blood loss anemia
no
0
yes
2
cardiac arrhythmia
no
0
yes
2
cerebrovascular disease
no
0
yes
2
COPD
no
0
yes
2
congestive heart failure
no
0
yes
2
uncomplicated hypertension
no
0
yes
4
hypothyroidism
no
0
yes
2
metastatic solid tumor
no
0
yes
5
mild liver disease
no
0
yes
2
obesity
no
0
yes
2
psychosis
no
0
yes
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 31
• The higher the score the greater the risk of 30-day mortality.
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