HOSPITALL is an acronym for: Heart and vascular disease (H), objectively measured lower extremity dysfunction (O), systemic inflammation (S) , dyspnea (P), impaired renal function (I), tobacco exposure (T), all cause hospitalization (ALL)
Patient selection: COPD, from 70-79 years, community-dwelling
Outcome: 9-year risk of all-cause hospitalization
Parameters:
(1) heart and vascular disease
(2) short physical performance battery (SPPB)
(3) CRP in µg/mL (mg/L)
(4) dyspnea
(5) chronic kidney disease
(6) tobacco exposure
|
Parameter
|
Finding
|
Points
|
|
heart and vascular disease
|
no
|
0
|
|
|
yes
|
3
|
|
short physical performance battery
|
>= 10
|
0
|
|
|
< 10
|
4
|
|
CRP in mg/L
|
< 5.0
|
0
|
|
|
>= 5.0
|
3
|
|
dyspnea
|
none or mild
|
0
|
|
|
moderate
|
7
|
|
chronic kidney disease
|
no
|
0
|
|
|
yes
|
2
|
|
tobacco exposure
|
never
|
0
|
|
|
ever
|
4
|
where:
• The method and reference range for CRP not specified. For some methods the upper limit can be 10 mg/L. This may refer to a high-sensitivity method.
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 23
|
Score
|
Risk Group
|
Hazard Ratio for All Cause Hospitalization
|
|
<= 4
|
low
|
0.6
|
|
5 to 8
|
average
|
1
|
|
>= 9
|
high
|
2.4
|
Performance:
• The area under the ROC curve is 0.70.
