Cumulative Illness Rating Scale

Each system is rated as follows:

1=

NONE:

No impairment to that organ/system.

2=

MILD:

Impairment does not interfere with normal activity; treatment may or may not be required; prognosis is excellent. (Examples could be skin lesions, hernias, or hemorrhoids)

3=

MODERATE:

Impairment interferes with normal activity; treatment is needed; prognosis is good. (Examples could be gallstones, diabetes, or fractures)

4=

SEVERE:

Impairment is disabling; treatment is urgently needed; prognosis is guarded. (Examples could be carcinoma, pulmonary emphysema, or congestive heart failure)

5=

EXTREMELY SEVERE:

Impairment is life threatening; treatment is urgent or of an avail; prognosis is grave. (Examples could be myocardial infarction, cerebrovascular accident, gastrointestinal bleeding, or embolus)

1. Cardiac (heart only)

2. Hypertension (rating is based on severity; affected systems are rated separately)

3. Vascular (blood, blood vessels and cells, marrow, spleen. lymphatics)

4. Respiratory (lungs, bronchi, trachea below the larynx)

5. ENT (eye, ear, nose, throat, larynx)

6. Upper GI (esophagus, stomach, duodenum. Biliar and parcreatic trees; do not include diabetes)

7. Lower GI (intestines, hernias)

8. Hepatic (liver only)

9. Renal (kidneys only)

10. Other GU (ureters, bladder, urethra, prostate, genitals)

11. Musculo-Skeletal-Integumentary (muscles, bone, skin)

12. Neurological (brain, spinal cord, nerves; do not include dementia)

13. Endocrine-Metabolic (includes diabetes, diffuse infections, infections, toxicity)

14. Psychiatric/Behavioral (includes dementia, depression, anxiety, agitation, psychosis)