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 Release 21.0, Jan 2008
 
Chapter : ch1. Performance Measures & Quality of Life Section : Karnofsky Performance Scale and Related Status Scales
  Modified Karnofsky Scale of Ifudu et al

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Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

Ifudu et al used a modified Karnofsky scale to evaluate patients receiving maintenance hemodialysis. This uses functional performance and disability to stratify the patient. The authors are from State University of New York Health Science Center in Brooklyn, New York.

 

Major categories:

(1) independent

(2) requires assistance but living at home

(3) totally disabled or requires frequent nursing care

(4) hospitalized

 

Category

Status

Score

independent

normal function, without disability

96 - 100

 

full activities, with minor signs and symptoms

91 - 95

 

usual activities, requires effort

81 - 90

 

can do most out-of-home activities

76 - 80

 

limited to home

70 - 75

needs assistant

for errands

65 - 69

 

for meal preparations

60 - 64

 

for bathing or dressing (activities of daily living)

55 - 59

 

home attendent but not totally disabled

50 - 54

totally disabled

living at home

45 - 49

 

living in nursing home

40 - 44

hospitalized

fair condition

35 - 39

 

poor condition

30 - 34

 

progressive fatal process

< 30

 

where:

• The original table assigns "usual activities with effort" as 81 - 94, which overlaps with "minor signs and symptoms". Since all of the other values did not overlap, I reassigned the values so that there was no overlap.

 

  References:

Ifudu O, Paul HR, et al. Predictive value of functional status for mortality in patients with maintenance hemodialysis. Am J Nephrol. 1998; 18: 109-116 (Table 1, page 110).

 

 

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