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Risk Score of De Jonge et al for a Quality of Life and Survival in a Patient Requiring Dialysis

Purpose: To evaluate the quality of life for a patient requiring dialysis using the risk score of de Jonge et al.

Description

De Jonge et al developed a simple risk score for identifying a patient on dialysis who will have a poor quality of life and survival at 1 year. The authors are from Ziekenhuis der Vrije Universiteit in Amsterdam, University Hospital in Lausanne and Academisch Ziekenhuis Groningen.


Parameters:

(1) age in years

(2) diabetes mellitus

(3) Intermed score

 

Parameters

Findings

Points

age in years

< 65 years of age

0

 

>= 65 years of age

1

diabetes mellitus

absent

0

 

present

1

Intermed score

< 21

0

 

>= 21

1

 

where:

• An Intermed score >= 21 indicates the need for complex care.

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 3

• The higher the score the greater the risk.

• A patient at high risk has a poor quality of life if they survive.

 

Total Score

Risk Group

Risk of Death

0

low

8%

1

moderate

23%

2 or 3

high

42%

 


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ICD-10