The Death Test

It's officially known by the acronym CrisTAL (Criteria for Screening and Triaging to Appropriate Alternative Care), but it's more widely known as the Death Test. It's a 29-point checklist to help doctors determine if elderly patients are at risk of dying within the next three months. So, it seems like a more rigorous version of the "Surprise Question" which (as we've posted about before) is another test docs use to predict imminent death.

More info: funeralwise.com

The Death Test:
For patients with an age of 65 or over who have been admitted to hospital this time in an emergency:
1. Altered level of consciousness (Glasgow Coma Score change >2 or AVPU=P or U)
2. Blood pressure (a systolic blood pressure of less than 90 mm Hg)
3. Respiratory rate of more then five and less than 30
4. Pulse rate of less than 40 or more than 140
5. Need for oxygen therapy, or known oxygen saturation of less than 90 per cent
6. Hypolglaecemia blood glucose level (less sugar in the blood than normal)
7. Repeat or prolonged seizures
8. Low output of urine (less than 15 mL/h or less than 0.5 mL/kg/h) or a MEW or SEWS score of more than 4
9. Previous history of disease, including:
10. Advanced cancer
11. Kidney disease
12. Heart failure
13. Various types of lung diseases
14. Strokes and vascular dementia
15. Heart attack
16. Moderate to severe liver disease
17. Mental impairment such as dementia or disability from a stroke
18. Length of stay before this RRT call (>5 days predicts 1-year mortality)
19. Repeat hospitalisations in the past year
20. Repeat admission to the intensive care department of the hospital
21. Frailty
22. Unexplained weight loss
23. Self-reported exhaustion
24. Weakness (being unable to grip objects, being unable to handle objects or lift heavy objects of less than or equal to 4.5kg,
25. Slow walking speed (walks 4.5m in more than 7 seconds) or is
26. Inability to do physical exercise or stand
27. Is a nursing home resident or lives in supported accommodation
28. Having urine in their blood (more than 30mg albumin/g creatinine
29. Abnormal ECG (irregular heartbeat, fast heartbeat and any other abnormal rhythm or more than or equal to 5 ectopics/min and changes to Q or ST waves)
     Posted By: Alex - Thu Jun 13, 2019
     Category: Death | Medicine





Comments
It reminds me of the potential side effects listed for every drug that I look up.
Posted by Virtual in Carnate on 06/13/19 at 09:57 AM
Give to the United Appeal For The Dead - https://www.youtube.com/watch?v=_kXl8LyD_JA&index=33&list=FLLch6sSlYRgJ9NVq-gGhbIg
Posted by KDP on 06/13/19 at 07:45 PM









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