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Profund Index | Polypathological Patients

Purpose: To evaluate a patient using the Profund Index of Bernabeu-Wittel et al.

Description

Bernabeu-Wittel et al reported the Profund Index (PI) to describe polypathological patients. This score can be used to predict a patient's prognosis and can identify a patient who may benefit from more aggressive management. The authors are from multiple hospitals in Spain.


Parameters:

(1) age

(2) cancer

(3) dementia

(4) NYHA or MRC functional class

(5) delirium during the last hospital admission

(6) hemoglobin (as measure of anemia)

(7) Barthel Index

(8) caregiver

(9) number of hospital admissions in past 12 months

 

Parameter

Finding

Points

age of the patient

< 85 years

0

 

>= 85 years

3

cancer

none

0

 

inactive

0

 

active

6

dementia

absent

0

 

present

3

NYHA or MRC functional class

I or II

0

 

III or IV

3

delirium during last hospital stay

absent

0

 

present

3

hemoglobin

>= 10 g/dL

0

 

< 10 g/dL

3

Barthel index

>= 60

0

 

< 60

4

caregiver

none

2

 

spouse

0

 

other

2

number of hospital admissions during the past years

0 to 3

0

 

4 or more

3

 

where:

• Other scores use different cut-offs for anemia based on gender.

• Delirium can have many causes. Delirium due to a medication may have a different significance when compared to a metabolic disorder.

 

total score =

= SUM(points for all 9 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 30

• The higher the score the greater the level of comorbidity.

 

Total Score

Risk Group

1 Year Mortality

0 to 2

low

12-15%

3 to 6

low to intermediate

22-32%

7 to 10

intermediate to high

45-50%

11 or more

high

61 to 68%

 


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Objective

ICD-10