Body systems evaluated:
(1) heart
(2) vascular
(3) hematopoietic
(4) respiratory
(5) EENT (eyes, ears, nose, throat, larynx)
(6) upper GI tract
(7) lower GI tract
(8) liver
(9) renal
(10) genito-urinary (ureters, bladder, urethra, prostate, genitals)
(11) musculoskeletal / integument
(12) neurological
(13) psychiatric illness
(14) endocrine / metabolic
Differences from the original CIRS:
(1) addition of hematopoietic item
(2) addition of breast to endocrine/metabolic
|
Degree of Severity
|
Points
|
|
no problem
|
0
|
|
mild current problem or past significant problem
|
1
|
|
moderate disability or morbidity; requires "first line" therapy
|
2
|
|
severe or constant significant disability; uncontrollable chronic problem
|
3
|
|
extremely severe (life threatening), end organ failure, severe impairment in function
|
4
|
total score =
= SUM(points for number of body systems evaluated)
severity index =
= (total score) / (number of body systems evaluated)
Additional tabulations:
(1) number of body systems with severity grade 3
(2) number of body systems with severity grade 4
Interpretation:
• minimum total score: 0
• maximum total score: 56
• minimum severity index: 0
• maximum severity index: 4
Performance:
• The scale showed good inter-rater reliability with intraclass correlation coefficients in range 0.78 to 0.88.
• The scale correlated with the physician's estimate of global disease burden. It also correlated with disability as measured with the Older Americans Activities of Daily Living Scale.
Limitations:
• It may be difficult to accurately convey the burden of multiple conditions by using a single index.
• A person could have multiple problems within a single body system. One way to handle this would be to move to a higher score if two or more conditions of similar magnitude are present.
