Burke Skilled Nursing Facility Prognosis Score

Population: Community dwelling Medicare beneficiaries aged 65 years and older who were admitted to a skilled nursing facility for short-term rehabilitation following a hospitalization.

Outcome: Composite of potential adverse events occurring during the SNF stay, defined as hospital readmission during SNF stay, a long SNF stay (≥100 days), or death during the SNF stay or within 30 days of SNF discharge. In the cohort, 29% of individuals experienced at least one of the three outcomes during their stay. The rates for the individual outcomes in the cohort were 19% for readmission, 11% for mortality, and 4% for long SNF stay.

Scroll to the bottom for more detailed information.

Risk Calculator
1. To calculate the Barthel index score (range 0-100), what is your patient’s functional status with the following activities?
• Feeding


• Bathing

• Grooming

• Dressing


• Bowels


• Bladder


• Toilet use


• Transfers (bed to chair and back)



• Mobility (on level surfaces)



• Stairs


Your patient’s Barthel index is: 0
2. Select which comorbidities your patient has from the following list:















(days required)
4. Does the patient have an indwelling catheter (e.g., urinary catheter, suprapubic catheter, or nephrostomy tube)?



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).