The Bronchiectasis Comorbidity Index (BCI) can be used to evaluate comorbidities in a patient with bronchiectasis.
Parameters:
(1) metastatic malignancy
(2) iron deficiency anemia
(3) liver disease
(4) hematologic malignancy (when not considered the underlying cause for the bronchiectasis)
(5) diabetes mellitus
(6) solid tumor
(7) pulmonary hypertension
(8) peptic ulcer disease
(9) peripheral vascular disease
(10) gastroesophageal reflex disease (GERD, GORD for oesophagus)
(11) ischemic heart disease (IHD)
Solid tumor was combined with metastatic malignancy.
|
Parameter
|
Finding
|
Points
|
|
solid malignancy
|
none
|
0
|
|
|
non-metastatic
|
3
|
|
|
metastatic
|
10
|
|
hematologic malignancy
|
none
|
0
|
|
|
present
|
4
|
|
iron deficiency anemia
|
none
|
0
|
|
|
present
|
6
|
|
liver disease
|
none
|
0
|
|
|
present
|
5
|
|
diabetes mellitus
|
none
|
0
|
|
|
present
|
3
|
|
pulmonary hypertension
|
none
|
0
|
|
|
present
|
3
|
|
peptic ulcer disease
|
none
|
0
|
|
|
present
|
2
|
|
peripheral vascular disease
|
none
|
0
|
|
|
present
|
2
|
|
GERD
|
none
|
0
|
|
|
present
|
2
|
|
ischemic heart disease
|
none
|
0
|
|
|
present
|
2
|
total score =
= SUM(points for all 11 parameters)
Interpretation:
• minimum score: 0
• maximum score: 39
• The higher the score the greater the comorbidity.
