Description

Whtney and Kamdar reported a new comorbidity index for evaluating adults with cerebral palsy. The authors are form the University of Michigan.


Patient selection: cerebral palsy

 

Condition

Adjusted HR (competing risks)

Points

hypertension (uncomplicated)

1.74

2

epilepsy

2.33

2

chronic pulmonary disease

1.25

1

depression

1.68

2

blood loss and deficiency anemias

1.85

2

gastrointestinal issues

1.75

2

osteoarthritis and allied disorders

0.76

1

intellectual disabilities

1.76

2

fluid and electrolyte disorders

2.79

3

bone fragility

1.91

2

cardiac arrhythmias

2.91

3

hypothyroidism

1.19

1

dysphagia

2.94

3

cerebrovascular accident

1.15

1

pneumonia

2.73

3

other neurological disorders

1.80

2

renal disease

1.80

2

congestive heart failure

2.12

2

neurogenic bowel or bladder

1.50

2

mild-to-severe liver disease

1.53

2

dementia

1.70

2

myocardial infarction

1.71

2

rheumatoid arthritis or other inflammatory polyarthritis

2.49

2

 

 

Condition

Adjusted HR (competing risks)

Points

diabetes without chronic complications

1.64

2

diabetes with chronic complications

3.08

3

any malignancy (excluding malignant neoplasm of skin)

1.58

2

metastatic cancer

 

6

 

total score =

= SUM(points for all of the conditions)

 

Interpretation:

minimum score: 0

maximum score: 55

The higher the score the greater the comorbidity.


To read more or access our algorithms and calculators, please log in or register.