4 Year Prognostic Index
Demographics
<-- Age (years)
<-- Gender
<-- Diabetes
Comorbidities and behaviors
<-- Cancer (other than minor skin cancer)
<-- Chronic lung disease (disease limits activities or patient requires oxygen)
<-- Heart failure
<-- Body mass index < 25 kg/m2
<-- Current smoker
Functional measures
<-- Because of a health or memory problem do you have any difficulty with bathing?
<-- Because of a health or memory problem do you have any difficulty with managing finances?
<-- Because of a health or memory problem do you have any difficulty with walking several blocks
<-- Because of a health or memory problem do you have any difficulty with pushing/pulling heavy objects?
Score --> Scorescore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)+(Q10)+(Q11)+(Q12) out of 27 points
Interpretation -->

Result - Copy and paste this output: