TABLE 1.
Prognostic Index of Lee et al. Of the 13 Data Elements That are Required for This Index, as Many as 8 may be Obtained From an Electronic Medical Record System, Leaving as few as 5 Items for Patient Survey
| Prognostic Index |
| Age* |
| <60, 0 points; 60–64, 1 point; 65–69, 2 points; 70–74, 3 points; 75–79, 4 points; 80–84, 5 points; ≥85, 7 points |
| Sex* |
| Female, 0 points; male, 2 points |
| Weight* |
| Height* |
| BMI ≥25, 0 points; BMI <25, 1 point (BMI = 703 X weight in pounds/height in inches) |
| Has a doctor ever told you that you have diabetes or high blood sugar?* |
| No = 0 points; Yes 1 point |
| Has a doctor told you that you have cancer or a malignant tumor, excluding minor skin cancers?* |
| No = 0 points; Yes 2 points |
| Do you have a chronic lung disease that limits your usual activities or makes you need oxygen at home?* |
| No = 0 points, Yes 2 points |
| Has a doctor told you that you have congestive heart failure?* |
| No = 0 points; Yes 2 points |
| Have you smoked cigarettes in the past week?† |
| No = 0 points; Yes 2 points |
| Because of a health or memory problem, do you have any difficulty with bathing or showering?† |
| No = 0 points; Yes 2 points |
| Because of a health or memory problem, do you have any difficulty with managing your money-such as paying your bills and keeping track of expenses?† |
| No = 0 points; Yes 2 points |
| Because of a health problem do you have any difficulty with walking several blocks?† |
| No = 0 points; Yes 2 points |
| Because of a health problem do you have difficulty with pulling or pushing large objects like a living room chair?† |
| No = 0 points; Yes 1 point |
| Scoring Algorithm |
| Sum all points from questions above |
| Sum of Points | Probability of Death in 4 yr | Estimated Life Expectancy (yr) |
|---|---|---|
| 0 | 1% | ≥10.0 |
| 1 | 2% | ≥10.0 |
| 2 | 2% | ≥10.0 |
| 3 | 4% | ≥10.0 |
| 4 | 5% | ≥10.0 |
| 5 | 7% | ≥10.0 |
| 6 | 9% | ≥10.0 |
| 7 | 14% | ≥10.0 |
| 8 | 20% | ≥10.0 |
| 9 | 22% | ≥10.0 |
| 10 | 28% | ≥10.0 |
| 11 | 44% | 6.9 |
| 12 | 46% | 6.5 |
| 13 | 57% | 4.7 |
| ≥14 | 66% | ≤3.7 |
*
Data element may be obtained from survey at check in and/or electronic medical record system.
†
Data element may be obtained from survey at check-in.