Fernando et al reported the Australian Injury Comorbidity Index (AICI) for evaluating an injured patient admitted to the hospital. One scoring identifies patients at risk for in-hospital mortality regardless of age. The authors are from Monash University and the Victorian Agency for Health Information in Australia.
Patient selection: injury-related hospital admission, all ages
Parameters:
(1) any malignancy
(2) cardiac arrhythmia
(3) chronic obstructive pulmonary disease (COPD)
(4) coagulopathy
(5) congestive heart failure (CHF)
(6) dementia
(7) metastatic solid tumor
(8) mild liver disease
(9) myocardial infarction (AMI)
(10) peptic ulcer disease
(11) renal disease (including renal failure)
Parameter
Finding
Points
any malignancy
no
0
yes
1
cardiac arrhythmia
no
0
yes
1
COPD
no
0
yes
1
coagulopathy
no
0
yes
1
congestive heart failure
no
0
yes
1
dementia
no
0
yes
1
metastatic solid tumor
no
0
yes
1
mild liver disease
no
0
yes
1
myocardial infarction
no
0
yes
1
peptic ulcer disease
no
0
yes
1
renal disease
no
0
yes
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 11
• The higher the score the greater the risk of in-hospital mortality.
Performance:
• The area under the ROC curve is reported as 0.92.
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