Rosser and Kind developed a classification of illness states based on disability and distress. This can be used to monitor a patient's illness over time and to compare the level of illness between patients. The authors are from Charing Cross Hospital in London.
|
Disability Description |
Rating |
|
no disability |
I |
|
slight social disability |
II |
|
severe social disability and/or slight impairment of performance at work; able to do all housework except very heavy tasks |
III |
|
choice of work or performance at work severely limited; housewives and old people able to do light housework only but able to go out shopping |
IV |
|
unable to undertake any paid employment; unable to continue any education; old people confined to home except for escorted outings and short walks and unable to do any shopping; housewives able only to perform a few simple tasks |
V |
|
confined to chair or wheelchair; or only able to move around in house with support from an assistant |
VI |
|
confined to bed |
VII |
|
unconscious |
VIII |
where:
• How prolonged the disability lasts (days vs weeks vs permanent) should affect the rating and valuation.
|
Distress |
Rating |
|
no distress |
A |
|
mild |
B |
|
moderate |
C |
|
severe |
D |
Valuation Matrix
|
Disability |
Distress A |
Distress B |
Distress C |
Distress D |
|
I |
1.00 |
0.995 |
0.99 |
0.97 |
|
II |
0.99 |
0.986 |
0.97 |
0.93 |
|
III |
0.98 |
0.97 |
0.96 |
0.91 |
|
IV |
0.96 |
0.96 |
0.94 |
0.87 |
|
V |
0.95 |
0.94 |
0.90 |
0.70 |
|
VI |
0.88 |
0.85 |
0.68 |
0.00 |
|
VII |
0.68 |
0.56 |
0.00 |
-1.49 |
|
VIII |
-1.03 |
NA |
NA |
NA |
from Table 3, Gudex page 104, most values rounded from 3 to 2 decimal places
Interpretation:
• A matrix score of 1 = health
• A matrix score of 0 = death
• A matrix score < 0 = worse off than dead.
Purpose: To evaluate a patient's illness state using the classification of Rosser and Kind.
Specialty: Sports Medicine & Rehabilitation
Objective: severity, prognosis, stage, disability and performance
ICD-10: ,
