62 Burden of Illness Score (BIS)

Population: Hospitalized, age 70 or greater

BIS Variables BIS Points
High-risk diagnoses (See below) 0-3
Albumin < 3.5 1
Creatinine > 1.5 1
Dementia 1
Walking impairment 1

(Scoring for High-risk diagnoses)

Variable Points
Lymphoma 6
Leukemia 6
Acute renal failure Cancer Stroke 2 CHF 2 COPD 2 Chronic renal failure 2 DM with organ disease 1 Pneumonia 5
Cancer 3
Stroke 2
CHF 2
COPD 2
Chronic renal failure 2
DM with organ disease 1
Pneumonia 1

(Transfer High-risk diagnoses score to BIS:)

High-risk Score To-BIS Score
0 0
1-2 1
3-5 2
6 or greater 3

Correlation of BIS Score with 1-year mortality risk %

0-1 8
2 24
3 51
4 or greater 74

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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