van Walraven et al reported the Hospital-patient One-year Mortality Risk (HOMR) for a predicting one-year mortality for a hospitalized patient. It consists of multiple measures, one of which is the admission diagnosis.
Patient selection: hospitalized patient >= 20
There are 2 options for scoring. One is to score the chief complaint. The second is to list all of major diagnoses present. Since it is referred to as a score the latter option will be used.
|
Diagnosis |
ICD-10 |
Points |
|
abdominal pain |
R10 |
-4 |
|
abnormalities of heart beat |
R00 |
-7 |
|
acute appendicitis |
K35 |
-12 |
|
acute endocarditis |
I33 |
7 |
|
acute myocardial infarction |
I21 |
-1 |
|
adult respiratory distress syndrome |
J80 |
9 |
|
alcoholic liver disease |
K70 |
6 |
|
angina |
I20 |
-9 |
|
anoxic injury and other cerebral disorders |
G93 |
11 |
|
ascites |
R18 |
5 |
|
aspiration pneumonitis |
J69 |
5 |
|
asthma |
J45 |
-15 |
|
atrial fibrillation or flutter |
I48 |
-3 |
|
biliary tract disease |
K83 |
5 |
|
bladder cancer |
C67 |
3 |
|
brain cancer |
C71 |
9 |
|
breast cancer |
C50 |
-4 |
|
bronchogenic carcinoma |
C34 |
5 |
|
cardiac arrest |
I46 |
12 |
|
cellulitis |
L03 |
-4 |
|
cerebral artery occlusion or stenosis |
I65 |
-22 |
|
cerebral ischemia |
G45 |
-13 |
|
cholelithiasis |
K80 |
-8 |
|
chronic obstructive pulmonary disease |
J44 |
-3 |
|
cirrhosis |
K72 |
4 |
|
conduction abnormalities |
I44 |
-5 |
|
convalescence |
Z54 |
-3 |
|
coronary artery disease |
I25 |
-7 |
|
delirium |
F05 |
-3 |
|
diarrhea, presumed infectious |
A09 |
-5 |
|
diffuse parenchymal lung disease |
J84 |
7 |
|
diverticular disease |
K57 |
-5 |
|
dizziness |
R42 |
-13 |
|
esophageal cancer |
C15 |
7 |
|
female genital prolapse |
N81 |
-20 |
|
gastric cancer |
C16 |
7 |
|
head injury and consequences |
S06 |
3 |
|
hepatic failure |
K72 |
4 |
|
hip or femoral fracture |
S72 |
1 |
|
hypertension |
I10 |
-11 |
|
inguinal hernia |
K40 |
-7 |
|
intervertebral disc disorder |
M51 |
-9 |
|
intestinal lesions |
K63 |
6 |
|
intracerebral hemorrhage |
I61 |
5 |
|
liver cancer |
C22 |
6 |
|
lower leg fracture |
S82 |
-7 |
|
lumbar or pelvic fracture |
S32 |
-3 |
|
metastatic cancer |
C78, C79 |
4 |
|
myeloid leukemia |
C92 |
7 |
|
neck or chest pain |
R07 |
-12 |
|
non-Hodgkins lymphoma |
C85 |
5 |
|
oncological treatment and aftercare |
Z51 |
2 |
|
osteoarthritis of the hip |
M16 |
-6 |
|
osteoarthritis of the knee |
M17 |
-11 |
|
pancreatic cancer |
C25 |
8 |
|
pleural effusion |
J90 |
3 |
|
prostate cancer |
C61 |
-5 |
|
rehabilitation |
Z50 |
-5 |
|
respiratory failure |
J96 |
5 |
|
septicemia |
A41 |
4 |
|
shock |
R57 |
8 |
|
signs of neurological/musculoskeletal system |
R29 |
-7 |
|
spondylopathy |
M48 |
-10 |
|
syncope |
R55 |
-9 |
|
tachycardia |
I47 |
-6 |
|
thyroid cancer |
C73 |
-21 |
|
type 1 diabetes mellitus |
E10 |
-7 |
|
type 2 diabetes mellitus |
E11 |
-4 |
|
unspecified dementia |
F03 |
-3 |
|
vertigo |
H81 |
-16 |
total score =
= SUM(points for all diagnoses present)
Interpretation:
• The number may range widely depending on the number of diagnoses present.
