Exam

Four Year Prognostic Index

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Four Year Prognostic Index, Lee Index

  • Definition
  1. Calculation to predict four year mortality in older adults
  • Indication
  1. Assess whether a patient will live long enough to benefit from a specific screening measure or medical intervention
  • Criteria
  1. Age (5 year increments from 60 to over 85 years old)
  2. Diabetes Mellitus
  3. Cancer
  4. Chronic lung disease
  5. Heart Failure
  6. Body Mass Index (<25 kg/m2)
  7. Current Tobacco use
  8. Functional capacity
    1. Difficulty bathing
    2. Difficulty managing finances
    3. Difficulty walking several blocks
    4. Difficulty pushing or pulling heavy objects
  • Resources
  1. EPrognosis
    1. https://eprognosis.ucsf.edu/
  2. Lee Index
    1. http://eprognosis.ucsf.edu/lee.php
  • References
  1. Lee (2006) JAMA 295: 805 [PubMed]
  2. (2006) Am Fam Physician 74(4): 633-4 [PubMed]