Score sheet to estimate 5-year risk of severe, persistent activity-of-daily-living dependence, the Established Populations for Epidemiologic Studies of the Elderly, United States, 1981–1987 and 1985–1992. The risk was estimated as the 5-year cumulative incidence of severe, persistent activity-of-daily-living dependence from the cause-specific hazards model that accounted for competing risk. Cognitive function was considered “normal” if the number of errors on the Short Portable Mental Status Questionnaire was ≤2; “mildly impaired” if 3 or 4; and “moderately to severely impaired” if ≥5 (22).