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. 2019 Aug 16;22(4):299–305. doi: 10.1089/rej.2018.2103

Table 1.

Domains of the Self-Administered-MPI and Its Scoring

SELFY-MPI
Item Level of risk  
Risk low = 0 Risk moderate = 0.5 Risk high = 1 Score
Barthel ADL 0–14 15–49 50–60  
Barthel MOB 0–14 15–29 30–40  
IADL 8–6 5–4 3–0  
TYM 50–43 42–24 23–0  
MNA-SF 14–12 11–8 7–0  
No. of medications 0–3 4–6 ≥7  
CIRS 0 1–2 3–13  
SFES 5–9 10–14 15–25  
Total Summarize the numbers assigned to each domain and divide by 8  

ADL, activities of daily living; CIRS, Cumulative Illness Rating Scale; IADL, instrumental activities of daily living; MNA-SF, Mini Nutritional Assessment Short Form; MOB, mobility; MPI, multidimensional prognostic index; SELFY-MPI, self-administered MPI; SFES, Gijon's social-familial evaluation scale; TYM: test your memory.