Patient selection: age >= 55 years, evaluated for psychogeriatric disorders
Outcome: 3-year mortality
Parameters:
(1) age in years
(2) sex
(3) living status
(4) cardiovascular disease
(5) diabetes
(6) number of medications
(7) body mass index in kilograms per square meter
(8) elderly mobility score (EMS), from 0 to 20
(9) motor deficit in activities of daily living (ADL) based on the Assessment of Motor and Process Skills
(10) process deficit in activities of daily living (ADL) based on the Assessment of Motor and Process Skills
|
Parameters
|
Finding
|
Points
|
|
age in years
|
|
4 * ((age) / 10)
|
|
sex
|
female
|
0
|
|
|
male
|
10
|
|
living status
|
married
|
0
|
|
|
living alone
|
5
|
|
cardiovascular disease
|
no
|
0
|
|
|
yes
|
4
|
|
diabetes
|
no
|
0
|
|
|
yes
|
4
|
|
medication number
|
<= 1
|
0
|
|
|
>= 2
|
5
|
|
BMI
|
< 18.5
|
12
|
|
|
>= 18.5
|
0
|
|
EMS score
|
< 20
|
5
|
|
|
>= 20
|
0
|
|
motor deficit
|
no
|
0
|
|
|
yes
|
4
|
|
process deficit
|
no
|
0
|
|
|
yes
|
7
|
total score =
= SUM(points for all 10 parameters)
Interpretation:
• minimum score: 22
• maximum score: around 96
X =
= (0.1 * (score)) - 5.313
probability of death at 3-years =
= 1 - 0.727^(EXP(X))
|
Score
|
Outcome
|
3-Year Mortality
|
|
< 45
|
very good
|
10%
|
|
45 to 51
|
good
|
17%
|
|
52 to 57
|
moderate
|
25%
|
|
58 to 63
|
poor
|
40%
|
|
> 63
|
very poor
|
68%
|
