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Description

Hack et al reported the Hack Impairment Index (HII) for measuring impairment associated with alcohol intoxication. The authors are from Kaiser Permanente Santa Clara and Brown University.


Patient selection: alcohol intoxication in the Emergency Department

Tasks:

(1) speech quality and mentation (response content)

(2) gross motor skills (stability on sitting, standing and walking)

(3) eye movements (tracking a moving finger with eyes and nystagmus)

(4) coordination with target pursuit (touching finger to examiner's finger)

(5) fine motor skills (ability to trace a curve between 2 printed lines on a piece of paper)

 

Finding

Points

task done perfectly

0

task done adequately but not perfectly

1

task done poorly

2

task attempted but not completed

3

unable to comply

4

 

If the patient refuses to perform a task then it is unscored.

 

total score =

= SUM(points for all of the tasks completed)

 

reference score =

= 4 * (number of tasks completed)

 

HII =

= (total score) / (reference score)

 

Interpretation:

minimum total score: 0

maximum total score: 20

minimum HII: 0 (all tasks done perfectly)

maximum HII: 1 (maximal impairment)


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