Combined Comorbidity Score

Description

Gagne et al developed comorbidity score based on elements of the Charlson and Elixhauser scores. The authors are from Brigham and Woman’s Hospital I Boston.

Patient: Medicare enrollees

Parameters:

(1) any tumor

(2) metastatic cancer

(3) congestive heart failure

(4) cardiac arrhythmia

(5) hypertension

(6) peripheral vascular disease

(7) chronic pulmonary disease

(8) pulmonary circulatory disorder

(9) dementia

(10) psychosis

(11) hemiplegia

(12) renal failure

(13) liver disease

(14) coagulopathy

(15) complicated diabetes

(16) deficiency anemia

(17) fluid and electrolyte disorder

(18) unexplained weight loss

(19) alcohol abuse

(20) HIV/AIDS

Parameter	Finding	Points
any tumor	absent	0
	present	1
metastatic cancer	absent	0
	present	5
congestive heart failure	absent	0
	present	1
cardiac arrhythmia	absent	0
	present	1
hypertension	absent	0
	present	-1
peripheral vascular disease	absent	0
	present	1
chronic pulmonary disease	absent	0
	present	1
pulmonary circulatory disorder	absent	0
	present	1
dementia	absent	0
	present	2
psychosis	absent	0
	present	1
hemiplegia	absent	0
	present	1
renal failure	absent	0
	present	2
liver disease	absent	0
	present	1
coagulopathy	absent	0
	present	1
complicated diabetes	absent	0
	present	1
deficiency anemia	absent	0
	present	1
fluid and electrolyte disorder	absent	0
	present	1
unexplained weight loss	absent	0
	present	2
alcohol abuse	absent	0
	present	1
HIV/AIDS	absent	0
	present	-1

total score =

= SUM(points for all 20 parameters)

Interpretation:

• minimum score: -2

• maximum score: 26

• The higher the score the greater the comorbidity.

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Description

Objective

ICD-10

Purpose: To evaluate comorbid conditions in a Medicare patient using the combined comorbidity score of Gagne et al.

Description

Objective

ICD-10