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Duke Activity Status Index

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The Duke Activity Status Index (DASI) is an assessment tool used to evaluate the functional capacity of patients with cardiovascular disease (CVD), such as coronary artery disease, myocardial infarction, and heart failure.[1]

In clinical practice, DASI can be used to assess the effects of medical treatments and cardiac rehabilitation as well.[2] Positive responses are summed up to get a total score, which ranges from 0 to 58.2. Higher scores would indicate a higher functional capacity.

The questionnaire

  1. Can you take care of yourself (eating, dressing, bathing or using the toilet)? (2.75)
  2. Can you walk indoors, such as around your house? (1.75)
  3. Can you walk a block or two on level ground? (2.75)
  4. Can you climb a flight of stairs or walk up a hill? (5.50)
  5. Can you run a short distance? (8.00)
  6. Can you do light work around the house, such as dusting or washing dishes? (2.70)
  7. Can you do moderate work around the house, such as vacuuming, sweeping floors or carrying in groceries? (3.50)
  8. Can you do heavy work around the house, such as lifting and moving heavy furniture? (8.00)
  9. Can you do yard work, such as raking leaves, weeding or pushing a power mower? (4.50)
  10. Can you have sexual relations? (5.25)
  11. Can you participate in moderate recreational activities, such as golf, bowling, dancing, doubles tennis or throwing a baseball or football? (6.00)
  12. Can you participate in strenuous sports, such as swimming, singles tennis, football, basketball or skiing? (7.50)[3]

The numbers in the brackets indicated what a "yes" would score, and Duke Activity Status Index (DASI) = sum of “Yes” replies ___________ VO2peak = (0.43 x DASI) + 9.6 VO2peak = ___________ ml/kg/min ÷ 3.5 ml/kg/min = __________ METS

References

  1. ^ Coutinho-myrrha MA, Dias RC, Fernandes AA, et al. Duke Activity Status Index for cardiovascular diseases: validation of the Portuguese translation. Arq Bras Cardiol. 2014;102(4):383-90.
  2. ^ Scotto CJ, Waechter DJ, Rosneck J. Adherence to prescribed exercise and diet regimens two months post-cardiac rehabilitation. Can J Cardiovasc Nurs. 2011;21(4):11–17.
  3. ^ http://www.phsoregon.org/newsletters/ecardiovascular-beat/assets/downloads/Duke-Activity-Status-Index.pdf
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