Duke 활동상태지수(DASI)
용도When to use: functional capacity / some preoperative discussions without CPET.
층별<4 METs often flags limited capacity in perioperative conversations.
한계When not to use: as replacement for indicated CPET/stress testing. · Pitfall: over-reporting unusual peak efforts. · Language/culture may affect item interpretation.
출처Hlatky MA et al. DASI
이번 교대 다음 단계
점수 후: 장면 연산·인접 점수·대응 경로. 로컬 참고만 — HIS 기록 없음.
방법론 · 대입 예시·가이드라인 요점·상세
적용 상황
When to use: functional capacity / some preoperative discussions without CPET.
입력 항목
- Take care of self (eat, dress, bathe)
- Walk indoors
- Walk 1–2 blocks on level ground
- Climb a flight of stairs / walk up a hill
- Run a short distance
- Light housework (dusting, dishes)
- Moderate housework (vacuuming, carrying groceries)
- Heavy housework (scrubbing floors, moving furniture)
- Yardwork (raking, weeding, mowing)
- Have sexual relations
- Moderate recreation (golf, bowling, dancing, doubles tennis)
- Strenuous sports (swimming, singles tennis, football, basketball, skiing)
계산 방법과 공식
Weighted yes/no sum (max 58.2); VO₂=(0.43×DASI)+9.6; METs=VO₂/3.5.
Answer all 12 activity items honestly for typical recent capacity.
계산 예시 (수치 대입)
아래 수치는 본 도구의 입력 항목에 정의된 예시값이며, 이 페이지의 공식으로 서버에서 실제 계산한 결과입니다. 계산 과정을 빠르게 확인할 수 있습니다. 대입 방법을 보여주는 예시일 뿐이며 임상적 조언이 아니고 실제 사례도 아닙니다.
| Take care of self (eat, dress, bathe) | No (0) |
|---|---|
| Walk indoors | No (0) |
| Walk 1–2 blocks on level ground | No (0) |
| Climb a flight of stairs / walk up a hill | No (0) |
| Run a short distance | No (0) |
| Light housework (dusting, dishes) | No (0) |
| Moderate housework (vacuuming, carrying groceries) | No (0) |
| Heavy housework (scrubbing floors, moving furniture) | No (0) |
| Yardwork (raking, weeding, mowing) | No (0) |
| Have sexual relations | No (0) |
| Moderate recreation (golf, bowling, dancing, doubles tennis) | No (0) |
| Strenuous sports (swimming, singles tennis, football, basketball, skiing) | No (0) |
→DASI0.00/58.2
- VO₂ peak est.:9.6 mL/kg/min
- METs:2.7
- Cue:<4 METs — low functional capacity cue (perioperative risk discussions)
| Take care of self (eat, dress, bathe) | Yes (+2.75) |
|---|---|
| Walk indoors | Yes (+1.75) |
| Walk 1–2 blocks on level ground | Yes (+2.75) |
| Climb a flight of stairs / walk up a hill | Yes (+5.50) |
| Run a short distance | Yes (+8.00) |
| Light housework (dusting, dishes) | Yes (+2.70) |
| Moderate housework (vacuuming, carrying groceries) | Yes (+3.50) |
| Heavy housework (scrubbing floors, moving furniture) | Yes (+8.00) |
| Yardwork (raking, weeding, mowing) | Yes (+4.50) |
| Have sexual relations | Yes (+5.25) |
| Moderate recreation (golf, bowling, dancing, doubles tennis) | Yes (+6.00) |
| Strenuous sports (swimming, singles tennis, football, basketball, skiing) | Yes (+7.50) |
→DASI58.20/58.2
- VO₂ peak est.:34.6 mL/kg/min
- METs:9.9
- Cue:>=7 METs — higher capacity band
결과 판독과 층별
<4 METs often flags limited capacity in perioperative conversations.
가이드라인 요점 (자체 정리)
- 12 weighted items.
- METs from VO₂.
- Next: risk discussion.
이상은 해당 가이드라인의 요점을 본 사이트가 자체 정리한 것이며, 원문 인용이 아닙니다.
주의점과 한계
- When not to use: as replacement for indicated CPET/stress testing.
- Pitfall: over-reporting unusual peak efforts.
- Language/culture may affect item interpretation.
검증과 출처 · 거버넌스
참고 가이드라인과 출처
- Hlatky MA et al. DASI
자주 묻는 질문
자주 묻는 질문
- Duke 활동상태지수(DASI)은 환자 데이터를 업로드합니까? 어디서 계산합니까?
- 계산은 브라우저에서 로컬로 수행되며 입력과 결과는 서버로 업로드되지 않습니다. 면허 의사 참고용이며 병력·검사·소속 기관 프로토콜과 함께 해석해야 하고, 진단이나 처방을 대체하지 않습니다.
- Duke 활동상태지수(DASI)은 실제로 어떻게 계산합니까? 계산 예시를 보여줄 수 있습니까?
- 대입값: Take care of self (eat, dress, bathe) No (0), Walk indoors No (0), Walk 1–2 blocks on level ground No (0), Climb a flight of stairs / walk up a hill No (0), Run a short distance No (0), Light housework (dusting, dishes) No (0), Moderate housework (vacuuming, carrying groceries) No (0), Heavy housework (scrubbing floors, moving furniture) No (0)… → 결과: DASI 0.00 /58.2(VO₂ peak est.: 9.6 mL/kg/min, METs: 2.7, Cue: <4 METs — low functional capacity cue (perioperative risk discussions)) 대입값: Take care of self (eat, dress, bathe) Yes (+2.75), Walk indoors Yes (+1.75), Walk 1–2 blocks on level ground Yes (+2.75), Climb a flight of stairs / walk up a hill Yes (+5.50), Run a short distance Yes (+8.00), Light housework (dusting, dishes) Yes (+2.70), Moderate housework (vacuuming, carrying groceries) Yes (+3.50), Heavy housework (scrubbing floors, moving furniture) Yes (+8.00)… → 결과: DASI 58.20 /58.2(VO₂ peak est.: 34.6 mL/kg/min, METs: 9.9, Cue: >=7 METs — higher capacity band)
검증 절차
검증과 근거
본 도구의 공식과 계산 방법은 이 페이지에 명시되어 있으며 공개적으로 대조할 수 있습니다. 공식·계수·임계값은 위 권위 출처에 따라 대조했습니다.