The Multidimensional Prognostic Index (MPI) can be used to evaluate an older adult. It is based on a Comprehensive Geriatric Assessment 9CGA). The authors are from multiple institutions in Italy and the United States.
Parameters:
(1) activities of daily living (ADL), number out of 6 that are independent
(2) instrumental activities of daily living (IADL), from 0 to 8
(3) short mental status questionnaire (from 0 to 10)
(4) cumulative index rating scale for comorbidity (number of significant diseases present)
(5) mini-nutritional assessment (MNA), from 0 to 30
(6) Exton-Smith scale for pressure ulcers (from 5 to 20)
(7) number of medications
(8) social support network
Parameter
Finding
Points
activities of daily living
5 or 6
0
3 or 4
0.5
0 to 2
1.0
instrumental ADL
6 to 8
0
4 or 5
0.5
0 to 3
1.0
short mental status questionnaire
8 to 10
0
4 to 7
0.5
0 to 3
1.0
number of significant diseases
0
0
1 or 2
0.5
>=3
1.0
mini-nutritional assessment
>= 24
0
17 to 23.5
0.5
< 17
1.0
Exton-Smith scale
16 to 20
0
10 to 15
0.5
5 to 9
1.0
number of medications
0 to 3
0
4 to 6
0.5
>= 7
1.0
social support network
living with family
0
institutionalized
0.5
living alone
1.0
total score =
= SUM(points for all 8 parameters(
Interpretation:
• miinimum score: 0
• maximum score: 8
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