The Chronic Lung Disease Severity Index is a symptom-based measure for severity of chronic disease. It can be used to monitor patients with chronic pulmonary disorders and can be used in conjunction with general health-related quality of life indicators.
Patient population evaluated:
(1) chronic bronchitis
(2) asthma
(3) emphysema
The instrument consists of 6 questions.
Responses ranged from 1 (never) to 4 or 5 (severe).
Activity |
Examples |
vigorous activity |
running, walking up a steep hill, climbing more than 3 flights of stairs, carrying a moderate load on level ground |
moderate activity |
walking up a gradual hill, climbing less than 3 flights of stairs, carrying a light load on level ground |
light activity |
walking on level ground, shopping, washing or standing |
no activity |
at rest, sitting down, lying down |
chronic lung disease severity index =
= (points for shortness of breath frequency) + (points for causes of shortness of breath) + (points for wheezing frequency) + (points for causes of wheezing) + (points for cough frequency) + (points for sputum-phlegm production)
shortness of breath subscale =
= (points for shortness of breath frequency) + (points for causes of shortness of breath)
wheezing subscale =
= (points for wheezing frequency) + (points for causes of wheezing)
cough subscale =
= (points for cough frequency) + (points for sputum-phlegm production)
conversion of score to 0-100 scale =
= ((patient score) - (minimum score)) / ((maximum score) - (minimum score)) * 100
Interpretation:
• minimum index score: 6, maximum 27
• minimum subscale score: 2, maximum 9
• The higher the score, the worse the symptomatology.
ICD-10: ,