Australian Injury Comorbidity Index (AICI): Weighted Score for In-Hospital Mortality

Description

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 in-hospital 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) cardiac arrhythmia

(4) cerebrovascular disease

(5) chronic obstructive pulmonary disease (COPD)

(6) congestive heart failure (CHF)

(7) uncomplicated hypertension

(8) hypothyroidism

(9) mildliver disease

(10) myocardial infarction (AMI)

(11) psychosis

Parameter	Finding	Points
alcohol dependence	no	0
	yes	5
any malignancy	no	0
	yes	2
cardiac arrhythmia	no	0
	yes	2
cerebrovascular disease	no	0
	yes	2
COPD	no	0
	yes	3
congestive heart failure	no	0
	yes	2
uncomplicated hypertension	no	0
	yes	3
hypothyroidism	no	0
	yes	3
mild liver disease	no	0
	yes	3
myocardial infarction	no	0
	yes	9
psychosis	no	0
	yes	2

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 36

• The higher the score the greater the risk of in-hospital mortality.

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