Patient selection: cirrhosis
Comorbid conditions:
(1) cancer
(2) chronic kidney disease
(3) chronic obstructive lung disease (COLD)
(4) epilepsy
(5) peripheral vascular disease
(6) congestive heart disease
(7) acute myocardial infarction
(8) substance abuse other than alcohol
|
Parameter
|
Finding
|
Point 1
|
Point 2
|
|
cancer
|
active metastatic
|
1
|
5
|
|
|
inactive metastatic
|
1
|
3
|
|
|
active nonmetastatic
|
1
|
3
|
|
|
active hematologic
|
1
|
3
|
|
|
inactive nonmetastatic
|
1
|
1
|
|
|
inactive hematologic
|
1
|
1
|
|
|
none
|
0
|
0
|
|
chronic kidney disease
|
present
|
1
|
3
|
|
|
absent
|
0
|
0
|
|
acute myocardial infarction
|
active
|
1
|
3
|
|
|
inactive
|
1
|
1
|
|
|
absent
|
0
|
0
|
|
COLD
|
present
|
1
|
1
|
|
|
absent
|
0
|
0
|
|
epilepsy
|
present
|
1
|
1
|
|
|
absent
|
0
|
0
|
|
peripheral vascular disease
|
present
|
1
|
1
|
|
|
absent
|
0
|
0
|
|
congestive heart failure
|
present
|
1
|
1
|
|
|
absent
|
0
|
0
|
|
substance abuse
|
present
|
1
|
1
|
|
|
absent
|
0
|
0
|
number of comorbid conditions =
= SUM(points for Point 1)
CirCom score =
= MAX(Point 2 for all comorbid conditions present) + (1 point if 2 or more comorbid conditions present)
Interpretation:
• minimum CirCom score: 0
• maximum CirCom score: 6
• The higher the CirCom score the worse the comorbidity burden and the worse the prognosis for the patient.
