Patient Education | Mortality Test for Age 50 and Older

University of California, San Francisco

About UCSF

UCSF Children's Hospital

Welcome

Hospitals and Clinics

Bone Marrow Transplant

Cancer

Children's Services

Clinical Laboratories

Heart Care

Hormonal Disorders

Memory Disorders

Neurological Disorders



	Health Library



	Clinical Trials



	Conditions and Treatments



	Events and Classes



	Medical Dictionary



	News



	Patient Education



	Patient Profiles



	Publications



	Research



	Other Resources



	Specialized Services

Patient Education	Print Format

A B C D F G H I K L M N O P S U W All Documents

Mortality Test for Age 50 and Older

If you're age 50 or older, UCSF geriatric researchers have created a 12-question mortality index that can predict your chance of dying in four years. It was developed to give doctors, patients and families a reasonable idea of what may happen and could be a wake up call for some to stop smoking and exercise.

Take the test below. Results should be discussed and interpreted by your doctor or other health care professional.

Age
Gender	Male Female
Weight in pounds
Height in inches
Has a doctor ever told you that you have diabetes or high blood sugar?	Yes No
Has a doctor told you that you have cancer or a malignant tumor, excluding minor skin cancers?	Yes No
Do you have a chronic lung disease that limits your usual activities or makes you need oxygen at home?	Yes No
Has a doctor told you that you have congestive heart failure?	Yes No
Have you smoked cigarettes in the past week?	Yes No
Because of a health or memory problem, do you have any difficulty with bathing or showering?	Yes No
Because of a health or memory problem, do you have any difficulty with managing your money - such as paying your bills and keeping track of expenses?	Yes No
Because of a health problem, do you have any difficulty with walking several blocks?	Yes No
Because of a health problem, do you have any difficulty with pulling or pushing large objects like a living room chair?	Yes No

This index, developed by researchers at the San Francisco Veterans Affairs Medical Center, is based on general risks and trends for broad populations or groups. Results generated by this index should be discussed and interpreted by your doctor or other health care professional.

For more information about the index, read the UCSF news release or the report in the Journal of the American Medical Association.

This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.

Home | About the Medical Center | Contact Us | Jobs | Compliance / Hotline