Dialysis Risk Score for Quality of Life & Survival for Patients

Description

De Jonge et al developed a simple risk score for identifying a patient on dialysis who will have a poor quality of life and survival at 1 year. The authors are from Ziekenhuis der Vrije Universiteit in Amsterdam, University Hospital in Lausanne and Academisch Ziekenhuis Groningen.

Parameters:

(1) age in years

(2) diabetes mellitus

(3) Intermed score

Parameters	Findings	Points
age in years	< 65 years of age	0
	>= 65 years of age	1
diabetes mellitus	absent	0
	present	1
Intermed score	< 21	0
	>= 21	1

where:

• An Intermed score >= 21 indicates the need for complex care.

total score =

= SUM(points for all 3 parameters)

Interpretation:

• minimum score: 0

• maximum score: 3

• The higher the score the greater the risk.

• A patient at high risk has a poor quality of life if they survive.

Total Score	Risk Group	Risk of Death
0	low	8%
1	moderate	23%
2 or 3	high	42%

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Risk Score of De Jonge et al for a Quality of Life and Survival in a Patient Requiring Dialysis

Purpose: To evaluate the quality of life for a patient requiring dialysis using the risk score of de Jonge et al.

Description

ICD-10