Walter Index (1-Year Mortality After Hospitalization)
Walter Index for 1-year mortality after hospitalization in adults >=70 (Walter, JAMA 2001).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Sex
- Male
- ADL dependence at discharge
- Dependent in 1–4 of 5 ADLs
- Congestive heart failure
- Yes
- Cancer status
- Solitary (non-metastatic) cancer
- Serum creatinine
- 3.5 mg/dL
- Serum albumin
- 3.2 g/dL
Result: Walter index 11/20 -> 1-year mortality about 64% (>= 7 points).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- 0-1 points
- 1-year mortality about 4%.
- 2-3 points
- 1-year mortality about 19%.
- 4-6 points
- 1-year mortality about 34%.
- >= 7 points
- 1-year mortality about 64%.
What you enter
- Sex
- ADL dependence at discharge: none, some (1-4 of 5), all (5 of 5) — bathing, dressing, transferring, toileting, eating
- Congestive heart failure
- Cancer status
- Serum creatinine (points if > 3.0 mg/dL)
- Serum albumin (1 point if 3.0-3.4, 2 points if < 3.0 g/dL)
How this is calculated
Walter LC, Brand RJ, Counsell SR, Palmer RM, Landefeld CS, Fortinsky RH, Covinsky KE. Development and validation of a prognostic index for 1-year mortality in older adults after hospitalization. JAMA. 2001;285(23):2987-2994. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.