By plugging in age, BMI, HDL, LDL, TG, Diastolic Blood Pressure, and Urine-albumin-to-creatinine ratio as well as Yes/No to questions about antihypertensive agents and insulin therapy, you can predict a 2 year mortality risk in people with diabetes using this Gargano Mortality Risk Score.
Online mortality risk calculator: http://www.operapadrepio.it/rcalc/rcalc.php
It is simple, free, and validated. It is a web based risk calculator. The calculator stratifies patients into low, medium, or high risk of dying from any cause within 2 years. The purpose is to help prioritize the use of available resources for targeting aggressive preventative and treatment strategies in a sub-set of very high-risk individuals.
The researchers developed their model based on data from 679 patients in the Gargano Mortality Study who were followed from 7.4 years.
The model was validated using data from 936 patients in the Foggia Mortality trial, who were followed for 4.5 years.
Higher mortality risk was predicted by elevated age, urine-albumin-to-creatinine ratio, and LDL cholesterol as well as taking insulin therapy or being on antihypertensive treatement. Lower mortality risk was predicted by elevated HDL, BMI, and diastolic blood pressere.
In the validation study, the overall mortality risk score was from 0 to 1 with a mean of 0.53. They put the scoresinto three risk categories: low (0.67 or less), intermediate (0.68-0.79), and high (0.80 or more). At 2 years, those with medium risk scores were 7 times more likely to have died than those with low risk scores and those with high risk scores were 24 more times more likely to have died than those with low risk scores.
The researchers warn that the model should be tested in other populations of diabetes patients to validate its generalizability since the studies to develop it and then validate it were conducted primarily in white, Italian populations.