Cardiovascular, Geriatrics
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Modified Hachinski Score [comment memo="Calculates the likelihood dementia is due to vascular causes."]
Findings:
[select value="false=0|TRUE=2" name="abrupt"] <-- Abrupt onset
[select value="false=0|TRUE=1" name="stepwise"] <-- Stepwise progression
[select value="false=0|TRUE=2" name="fluctuating"] <-- Fluctuating course
[select value="false=0|TRUE=1" name="nocturnal"] <-- Nocturnal confusion
[select value="false=0|TRUE=2" name="personality"] <-- Relative preservation of personality
[select value="false=0|TRUE=1" name="depression"] <-- Depression
[select value="false=0|TRUE=1" name="somatic"] <-- Somatic complaints
[select value="false=0|TRUE=1" name="emotional"] <-- Emotional incontinence
[select value="false=0|TRUE=1" name="hypertension"] <-- History of hypertension
[select value="false=0|TRUE=2" name="stroke"] <-- History of stroke
[select value="false=0|TRUE=2" name="neuroSigns"] <-- Focal neurologic signs
[select value="false=0|TRUE=2" name="neuroSymps"] <-- Focal neurologic symptoms
Score: [calc value="score=(abrupt)+(stepwise)+(fluctuating)+(nocturnal)+(personality)+(depression)+(somatic)+(emotional)+(hypertension)+(stroke)+(neuroSigns)+(neuroSymps)" memo="Score"]/18 Interpretation: [calc value="score=(abrupt)+(stepwise)+(fluctuating)+(nocturnal)+(personality)+(depression)+(somatic)+(emotional)+(hypertension)+(stroke)+(neuroSigns)+(neuroSymps);score>6?'Dementia likely due to vascular causes':score>4?'Inconclusive':'Dementia not likely due to vascular causes'" memo="Interpretation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:
[link url="//www.ncbi.nlm.nih.gov/pubmed/7396427" memo="#1"] Rosen WG, Terry RD, Field PA, et al. Pathological verification of ischemic score in differentiation of dementias. Ann Neurol 1980;7:486–8.
[link url="//www.aafp.org/afp/2001/0215/p703.html" memo="#2"] Early Diagnosis of Dementia, Am Fam Physician. 2001 Feb 15;63(4):703-714.
[/conditional]
Modified Hachinski Score Calculates the likelihood dementia is due to vascular causes.
Findings:
<-- Abrupt onset
<-- Stepwise progression
<-- Fluctuating course
<-- Nocturnal confusion
<-- Relative preservation of personality
<-- Depression
<-- Somatic complaints
<-- Emotional incontinence
<-- History of hypertension
<-- History of stroke
<-- Focal neurologic signs
<-- Focal neurologic symptoms
Score: Scorescore=(abrupt)+(stepwise)+(fluctuating)+(nocturnal)+(personality)+(depression)+(somatic)+(emotional)+(hypertension)+(stroke)+(neuroSigns)+(neuroSymps)/18 Interpretation: Interpretationscore=(abrupt)+(stepwise)+(fluctuating)+(nocturnal)+(personality)+(depression)+(somatic)+(emotional)+(hypertension)+(stroke)+(neuroSigns)+(neuroSymps);score>6?'Dementia likely due to vascular causes':score>4?'Inconclusive':'Dementia not likely due to vascular causes'
display/hide references
Result - Copy and paste this output: