Age (years)

 Points

60 to 64

1

65 to 69

2

70 to 74

3

75 to 79

4

80 to 84

5

≥ 85

7

Male sex

2

Diabetes

1

Cancer (other than minor skin cancer)

2

Chronic lung disease (disease limits activities or patient requires oxygen)

2

Heart failure

2

Body mass index < 25 kg per m2

1

Current smoker

2

Functional difficulties caused by health or memory problems:

Bathing

2

Managing money or finances

2

Walking several blocks

2

Pulling or pushing large objects (e.g., living room chair)

1

Total:

0 to 5

< 4

6 to 9

15

10 to 13

42

≥ 14

64

Adapted with permission from Lee SJ, Lindquist K, Segal MR, Covinsky KE. Development and validation of a