Flacker 1 Year Long Stay Revised Index

  • Population: Long stay (1 year or longer) nursing home residents aged 65 and older
  • Outcome: All cause 1 year mortality
  • Scroll to the bottom for more detailed information

Risk Calculator
1. What is the sex of your patient?
 
2. Does your patient have shortness of breath?
 
3. Does your patient have congestive heart failure?
 
4. Does your patient have a condition or disease that causes fluctuation, instability or decline in their activities of daily living (ADL), cognitive, or behavioral status?
 
5. Does your patient leave more than 25% of their food uneaten?
 
Which of the following best describes how your patient moves and turns his or her body while in bed?
Which of the following best describes how your patient moves between surfaces such as a bed and a chair?
Which of the following best describes how your patient moves between locations such as from their room to the hallway outside their room?
Which of the following best describes how your patient puts on, fastens, and takes off his or her every day clothing?
Which of the following best describes how your patient eats and drinks or intakes nourishment (i.e. in the case of tube feeding)?
Which of the following best describes how your patient uses a toilet, commode, bedpan, or urinal and transfers on and off the toilet?
Which of the following best describes how your patient maintains personal hygiene, including combing hair, brushing teeth, washing and drying face and hands (but excluding baths and showers)?
Total ADL Points: 0
7. Is your patient’s total ADL score (as shown above) less than the median ADL score from your patient’s Minimum Data Set? (If you divide your nursing home into a more functional half and less functional half, would your patient be in the more functional half?)
 
8. Does your patient have a BMI ≤ 23?
BMI calculator
 
9. Does your patient currently use a feeding tube?
 
10. Has your patient lost five or more pounds in the last thirty days OR 10 or more pounds in the last 6 months?
 
11. Does your patient have diabetes mellitus?
 
12. Is your patient aged 84 years or older?
 
Total Points: 0
Your best guess of one 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).