Grogono and Woodgate developed a simple health index for evaluating the state of a person's health. This can be used to determine a person state at a given moment and the need for treatment. It can also be monitored over time to determine a person's response to interventions. The authors were from the Royal Free Hospital in London and St. Andrew's Hospital in Essex, United Kingdom.
Parameters:
(1) ability to work
(2) recreation
(3) physical suffering
(4) mental suffering
(5) communication
(6) sleep
(7) dependency on others
(8) feeding (eating and food enjoyment)
(9) excretion
(10) sexual activity
|
Parameter |
Finding |
Points |
|---|---|---|
|
work |
normal |
1 |
|
|
impaired or reduced |
0.5 |
|
|
prevented |
0 |
|
hobbies and recreation |
normal |
1 |
|
|
impaired or reduced |
0.5 |
|
|
prevented |
0 |
|
physical suffering (malaise, pain or suffering) |
none |
1 |
|
|
mild and intermittent |
0.5 |
|
|
present |
0 |
|
mental suffering |
carefree and happy |
1 |
|
|
mild worry or unhappiness |
0.5 |
|
|
worried and unhappy |
0 |
|
communication |
normal |
1 |
|
|
impaired or reduced |
0.5 |
|
|
prevented |
0 |
|
sleep |
normal |
1 |
|
|
impaired or reduced |
0.5 |
|
|
marked interference |
0 |
|
dependence on others |
independence in activities of daily living |
1 |
|
|
impaired or reduced |
0.5 |
|
|
dependent |
0 |
|
feeding (eating and food enjoyment) |
normal |
1 |
|
|
minor impairment |
0.5 |
|
|
major impairment |
0 |
|
micturition and defecation |
normal |
1 |
|
|
minor impairment in either or both |
0.5 |
|
|
major impairment in either or both |
0 |
|
state of sex life |
normal for state of life |
1 |
|
|
impaired or reduced |
0.5 |
|
|
marked interference |
0 |
after the table from page 1024
where:
• Work: The score is awarded on the basis of ability to do the tasks associated with everyday life. A person doing reduced or no work on medical advice should be score 0.5 or 1, even if the person feels that he or she could do more. If a person is able to do his or her normal job even if hospitalized may be scored as 1. If a person reaches the compulsory retirement age but is otherwise able to work, the score is 1.
• Communication: A language barrier alone should not be used as criteria for a reduced score.
• Eating: A patient on a diet may have a reduced score if they dislike the diet.
• Sex life: A child or voluntary celibate person without a sex life should be scored 1 since that is normal for them. A person's whose sex life is deprived from what he or she would want should be given a reduced score.
• The grading scheme of 0, 0.5 or 1 is simple. The table could be modified to give percentage of normal or more functional levels.
health index score =
= (SUM(points for all 10 parameters)) / 10
Interpretation:
• minimum score: 0
• maximum score: 1
• The higher the score, the more normal the functioning. The lower the score, the greater the impairment and disability.
Purpose: To evaluate a patient's health using the health index of Grogono and Woodgate.
Specialty: Sports Medicine & Rehabilitation
Objective: clinical diagnosis, including family history for genetics, response to therapy, quality of life
ICD-10: ,
