Predictive Index of Inouye et al for Functional Decline in a Hospitalized Elderly Medical Patient

Patient selection: medical patient >= 70 years of age

Parameters:

(1) decubitus ulcer

(2) cognitive impairment

(3) functional impairment

(4) social activity level

where:

• A decubitus ulcer was defined as any skin breakdown at a pressure point.

• Cognitive impairment was defined as a Folstein Mini-Mental State Examination Score < 20.

• Functional impairment was defined as the need for assistance in 1 or more activities of basic living in the 2 weeks prior to admission. If functional impairment was due to a condition cured by the admission then this may not be very predictive.

• Social activity level as based on the number 11 representative social activities in a typical month as listed in Cornoni-Huntley et al.

functional index =

= SUM(points for the 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 4

• The higher the index the greater the risk of functional decline.