Romano et al developed a comorbidity index for patients undergoing surgery. Points are based on the assigned weight performed on studies using an analysis modeled after the studies by Charlson. The authors are from the University of California Davis School of Medicine, University of Mannitoba, and Duke University.
Outcomes:
(1) 1 year mortality following CABG surgery
(2) in-hospital complications following lumbar discectomy
1-Year Mortality following CABG
|
Parameter |
Finding |
Points |
|
myocardial infarction |
absent |
0 |
|
|
present |
1 |
|
congestive heart failure |
absent |
0 |
|
|
present |
3 |
|
peripheral vascular disease |
absent |
0 |
|
|
present |
2 |
|
mild liver disease |
absent |
0 |
|
|
present |
3 |
|
hemiplegia or paraplegia |
absent |
0 |
|
|
present |
3 |
|
renal disease |
absent |
0 |
|
|
present |
3 |
|
any malignancy |
absent |
0 |
|
|
present |
2 |
total score =
= SUM(points for all 7 parameters)
In-Hospital Complications following Lumbar Discectomy
|
Parameter |
Finding |
Points |
|
myocardial infarction |
absent |
0 |
|
|
present |
1 |
|
chronic pulmonary disease |
absent |
0 |
|
|
present |
2 |
|
diabetes mellitus |
absent |
0 |
|
|
present |
2 |
|
renal disease |
absent |
0 |
|
|
present |
2 |
|
metastatic solid tumor |
absent |
0 |
|
|
present |
4 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum scores: 0
• maximum score for 1 year mortality: 17
• maximum score for in-hospital complications: 11
Purpose: Purpose: To calculate a comorbidity score using the data from Romano et al.
Objective: comorbid conditions
ICD-10: ,
