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 prolonged length of stay. 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) alcohol dependence
(2) drug dependence
(3) any malignancy
(4) blood loss anemia
(5) cardiac arrhythmia
(6) cerebrovascular disease
(7) chronic pulmonary disease
(8) coagulopathy
(9) congestive heart failure (CHF)
(10) deficiency anemia
(11) depression
(12) diabetes with chronic complications
(13) diabetes without complications
(14) hemiplegia/paraplegia
(15) hypertension uncomplicated
(16) hypothyroidism
(17) metastatic solid tumor
(18) mild liver disease
(19) moderate or severe liver disease
(20) obesity
(21) peptic ulcer disease
(22) peripheral vascular disease
(23) psychoses
(24) pulmonary circulation disorder
(25) renal disease (including renal failure)
(26) rheumatic disease
(27) valvular disease
|
Response
|
Points
|
|
no
|
0
|
|
yes
|
1
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: table in supplement says 27. However, there are separate entries for (1) mild and moderate/severe liver disease and (2) diabetes with and without complications and (3) malignancy and metastatic malignancy,
• The higher the score the greater the risk for a prolonged length of stay.
