Age 82 44 49 60 25 69 44 85 Gender Male Female Female Male Male Male Male Male Comorbidities End-stage renal disease Scleroderma Hypothyroidism Old stroke, progressive supranuclear palsy None Progressive supranuclear palsy, hypothyroid Hypothyroid, high grade anaplastic ependymoma of spinal cord Interstitial lung disease Charlson comorbidity index (severity of comorbid diseases) 7 (severe) 2 (mild) 1 (mild) 7 (severe) 0 3 (moderate) 7 (severe) 4 (moderate) Status of primary illness On maintenance haemodialysis Advanced disease --- Residual hemiplegia --- End-stage progressive supranuclear palsy Residual quadriplegia Advanced interstitial lung disease Number of medications at home 8 4 1 7 0 12 7 4 Baseline functional status (Barthel index) 90 90 100 45 100 60 10 80 Baseline cognitive status Normal Normal Normal Normal Normal Cognitively impaired Normal Normal Diagnosis at current admission Sepsis with multiorgan dysfunction
Acute coronary syndrome with heart block
Malignancy of urinary bladder Diffuse scleroderma Post-COVID-19 infection, acute respiratory distress syndrome, multiorgan dysfunction Acute ischaemic stroke-bilateral with raised intracranial pressure, internal carotid artery thrombosis, status epilepticus, central diabetes insipidus Leptospirosis with multiorgan dysfunction, intracranial bleed following disseminated intravascular coagulation Septic shock Acute pneumonia with septic shock Clostridium difficile colitis Scenario 9 10 11 12 13 14 15 16 Age 70 66 31 75 67 66 59 88 Gender Male Male Female Male Male Female Female Male Comorbidities Multiple myeloma Hypertension, bronchial asthma Tuberculosis, hypothyroid None Deep venous thrombosis, atrial fibrillation, hypertension Morbid obesity, hypertension, diffuse astrocytoma of the brain Diabetes mellitus ii, obesity Hypothyroid Scenario 9 10 11 12 13 14 15 16 Charlson comorbidity index (severity of comorbid diseases) 10 (severe) 2 (mild) 3 (moderate) 9 (severe) 10 (severe) 9 (severe) 9 (severe) 4 (moderate) Status of primary illness Advanced multiple myeloma with compression fracture of multiple vertebrae stable --- Post-
chemotherapy and surgery --- Post-
chemotherapy Post-
chemotherapy --- Number of medications at home 9 6 5 8 17 6 8 4 Baseline functional status (Barthel index) 10 80 80 100 80 20 20 80 Baseline cognitive status Cognitively impaired Normal Normal Normal Normal Normal Normal Normal Diagnosis at the current admission Disseminated intravascular coagulation, retroperitoneal haematoma, multiorgan dysfunction syndrome Urosepsis with septic shock Rhomboencephalitis Advanced metastatic carcinoma colon Advanced carcinoma oesophagus with lung metastases and aspiration pneumonia Septic shock Metastatic carcinoma of the breast Aspiration pneumonia Scenario 17 18 19 20 21 22 23 Age 67 50 63 55 68 89 79 Gender Female Male Female Male Male Female Female Comorbidities Diabetes mellitus ii, hypertension, chronic obstructive airway disease End-stage renal disease, hypertension Diabetes mellitus, hypertension, ischaemic heart disease Carcinoma buccal mucosa Hypertension Diabetes mellitus, hypertension, coronary artery disease (s/p PTCA to LAD) Diabetes mellitus, hypertension, chronic kidney disease, chronic liver disease, coronary artery disease (s/p CABG) Charlson comorbidity index (severity of comorbid diseases) 6 (severe) 3 (moderate) 5 (severe) 7 (severe) 2 (mild) 10 (severe) 10 (severe) Scenario 17 18 19 20 21 22 23 Status of primary illness --- On maintenance haemodialysis Stable Carcinoma buccal mucosa with distant metastases (status post-chemotherapy Post-operative Stable Stable Number of medications at home 9 7 5 7 3 7 11 Baseline functional status (Barthel index) 80 90 100 90 100 20 80 Baseline cognitive status Normal Normal Normal Normal Normal Normal Normal Diagnosis at current admission Exacerbation of obstructive airway disease Status post-evacuation of subdural haematoma, recurrent hospital-acquired infections, muscle wasting Traumatic brain injury Aspiration pneumonia Vestibular schwannoma Subdural haematoma, femur and radial fracture Community-acquired pneumonia, uraemic encephalopathy, GI bleed, urosepsis, fluid overload, bilateral parieto-occipital infarct