Dramé Index

  • Population: hospitalized adults aged 75 years and older
  • Outcome: 2 year mortality
  • Scroll to the bottom for more detailed information

Risk Calculator
1. How old is your patient?
2. Before admission to the hospital, did your patient need help from another person for any of the following Activities of Daily Living: transferring out of bed or chair, bathing, dressing, toileting, eating, continence?
 
3. Does your patient have delirium (change in cognition over short period of time with MMSE ≤ 24)?
 
4. The following six items are from the Mini Nutritional Assessment Short Form (MNA-SF):
• Has your patient decreased their food intake over the past 3 months due to loss of appetite, digestive problems, chewing, or swallowing difficulties?
• What answer best describes your patient's weight loss in the last 3 months?
• Which answer best describes your patient’s mobility?
• Has your patient suffered acute psychological stress or acute disease in the past 3 months?
 
• Which answer best describes your patient′s neuropsychological status?
• What is your patient’s BMI?  BMI calculator
5. The following items are from the Charlson Comorbidity Index.
Has your patient been diagnosed with any of the following:
• acute myocardial infarction?
 
• congestive heart failure?
 
• peripheral vascular disease?
 
• a cerebral vascular accident?
 
• dementia?
 
• pulmonary disease?
 
• a connective tissues disorder?
 
• peptic ulcer disease?
 
• liver disease?
 
• diabetes?
 
• diabetes complications?
 
• paraplegia?
 
• renal disease?
 
• non-metastatic cancer?
 
• metastatic cancer?
 
• severe liver disease?
 
• HIV?
 
Total Points: 0
Your best guess of two year mortality risk

DISCLAIMER

The information provided on ePrognosis is designed to complement, not replace, the relationship between a patient and his/her own medical providers. ePrognosis was created with the support of the Division of Geriatrics at the University of California San Francisco. However, its content is strictly the work of its authors and has no affiliation with any organization or institution. This web site does not accept advertisements. If you reproduce the material on the website please cite appropriately. For feedback and questions regarding the site please email Sei Lee, MD (sei.lee@ucsf.edu), Alex Smith, MD (aksmith@ucsf.edu) or Eric Widera, MD (eric.widera@ucsf.edu).