ePrognosis - Pilotto Index

Pilotto Index

Population: Hospitalized elders aged 65 and older
Outcome: 1 year mortality
Scroll to the bottom for more detailed information

Risk Calculator

For each the question below, consult your patient's Comprehensive Geriatric Assesment (CGA) results.

1. What is your patient's Activities of Daily Living (ADL) score?

2. What is your patient's Instrumental Activities of Daily Living (IADL) score?

3. What is your patient's Short Portable Mental State Questionnaire (SPMSQ) score?

4. What is your patient's Comorbidity Index Score (CIRS-CI) score?

5. What is your patient's Mini Nutritional Assesment Short Form (MINA-SF) score?

6. What is your patient's Exton Smith Scale score?

7. What is the number of medications used by your patient at the time of hospital admission? (Calculated using the ATC Classification system: https://www.whocc.no/atc_ddd_index)?

8. Which of the following is used to describe your patient's social support network prior to hospitalization?

Total Points: 0

This index was developed in 838 patients in the geriatrics unit of an Italian hospital in 2004 (mean age 79 years, 55% female, 18% 1-year mortality)
The index was internally validated in 857 patients in the geriatrics unit of an Italian hospital in 2005 (mean age 78 years, 53% female, 17% 1-year mortality)
This index was additionally validated in 4088 patients from the same hospital in 2005 - 2007.
Discrimination: This risk calculator sorts patients who died from patients who lived correctly 75% of the time (c-statistic); 75% CI, 0.71-0.80). The discrimination was similar in internal validation of the performance at 1 month.
Calibration: The model was well calibrated at all risk levels, with less than 2% difference between estimated and actual mortality rates.
Citation: San Carlo D, D'Onofrio G, Franceschi M, Scarcelli c, Niro V, Addante F, Copetti M, Ferrucci L, Fontanna L, Pilotto A. Validation of a modified-multidimensional prognostic index (m-MPI) including the mini nutritional assesment short-term (MNA-SF) for the prediction of one-year mortality in hospitalized elderly patients. J Nurr Health Aging. Epu 7 Octorber 2010.
Additional Validation Citation: Pilotto A, Ferrucci L, Franceschi M, D’Ambrosio LP, Scarcelli C, Cascavilla L, Paris F, Placentino G, Seripa D, Dallapiccola B, Leandro G. Development and validation of a multidimensional prognostic index for one-year mortality from comprehensive geriatric assessment in hospitalized older patients. Rejuvenation Res. 2008 Feb;11(1):151-161.

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).