Low et al reported the FAM-FACE-SG score for evaluating patients who have frequent hospital admissions. This can help to identify high risk patients. The authors are from Singapore General Hospital and Singapore Health Services.
FAM-FACE-SG is based on the first letter of the 9 parameters.
Parameters:
(1) furosemide (F)IV therapy during index admission
(2) admissions in past year (A)
(3) Medifundassistance needed (M, a fund in Singapore to help pay medical bills)
(4) frequent ED use (F) in 6 months before index admission
(5) anti-depressant therapy in past year (A)
(6) Charlson Comorbidity Index (C)
(7) end-stage renal disease on dialysis (E)
(8) subsidized ward stay (S)
(9) geriatric patient (G)
|
Parameter
|
Finding
|
Points
|
|
furosemide IV therapy
|
none or < 40 mg
|
0
|
|
|
>= 40 mg
|
2
|
|
admissions in past year
|
0
|
0
|
|
|
1 or 2
|
5
|
|
|
3 or 4
|
10
|
|
|
>= 5
|
14
|
|
Medifund
|
no
|
0
|
|
|
yes
|
4
|
|
frequent ED use
|
none or < 3
|
0
|
|
|
>= 3
|
4
|
|
anti-depressant use
|
no
|
0
|
|
|
yes
|
7
|
|
Charlson comorbidity
|
0
|
0
|
|
|
1
|
7
|
|
|
2
|
13
|
|
|
3
|
17
|
|
|
>= 4
|
20
|
|
ESRD on dialysis
|
no
|
0
|
|
|
yes
|
4
|
|
subsidized ward stay
|
no
|
0
|
|
|
yes
|
3
|
|
geriatric
|
< 65 years old
|
0
|
|
|
65 to 84 years
|
1
|
|
|
>= 85 years
|
3
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 61
• The cutoff for high risk is 13.
Performance:
• The area under the ROC curve is 0.84.
