van Walraven et al reported the Hospital-patient One-year Mortality Risk (HOMR) for a predicting one-year mortality for a hospitalized patient. It consists of multiple measures. One measure is a Charlson comorbidity index (CCI) and another is based on age+comorbidity score.
Patient selection: hospitalized patient >= 20 years of age
Parameters:
(1) age in years
(2) myocardial infarction
(3) congestive heart failure
(4) peripheral vascular disease
(5) cerebrovascular disease
(6) dementia
(7) chronic respiratory disease
(8) liver disease
(9) diabetes
(10) hemi or paraplegia
(11) renal disease
(12) cancer
(13) HIV disease
|
Parameter |
Finding |
Points |
|
myocardial infarction |
no |
0 |
|
|
yes |
1 |
|
congestive heart failure |
no |
0 |
|
|
yes |
2 |
|
peripheral vascular disease |
no |
0 |
|
|
yes |
1 |
|
cerebrovascular disease |
no |
0 |
|
|
yes |
1 |
|
dementia |
no |
0 |
|
|
yes |
3 |
|
chronic respiratory disease |
no |
0 |
|
|
yes |
2 |
|
liver disease |
none |
0 |
|
|
mild |
2 |
|
|
moderate or severe |
4 |
|
diabetes |
none |
0 |
|
|
without complications |
1 |
|
|
with complications |
2 |
|
hemi or paraplegia |
no |
0 |
|
|
yes |
1 |
|
renal disease |
no |
0 |
|
|
yes |
3 |
|
cancer |
none |
0 |
|
|
nonmetastatic |
2 |
|
|
metastatic |
6 |
|
HIV disease |
no |
0 |
|
|
yes |
4 |
total score =
= SUM(points for all 12 parameters)
Interpretation:
• minimum CCI: 0
• maximum CCI: 30
Points based on Age and Charlson Comorbidity Index (CCI)
|
Age |
CCI 0 |
CCI 1 |
CCI 2 |
CCI 3 |
CCI 4 |
CCI 5 |
CCI >=6 |
|
20-24.9 |
0 |
3 |
5 |
7 |
8 |
9 |
10 |
|
25-29.9 |
2 |
5 |
7 |
9 |
10 |
11 |
11 |
|
30-34.9 |
4 |
7 |
9 |
11 |
12 |
12 |
13 |
|
35-39.9 |
7 |
9 |
11 |
12 |
13 |
14 |
15 |
|
40-44.9 |
8 |
11 |
13 |
14 |
15 |
15 |
16 |
|
45-49.9 |
10 |
13 |
14 |
15 |
16 |
17 |
17 |
|
50-54.9 |
12 |
14 |
16 |
17 |
17 |
18 |
18 |
|
55-59.9 |
14 |
16 |
17 |
18 |
19 |
19 |
20 |
|
60-64.9 |
15 |
17 |
18 |
19 |
20 |
20 |
21 |
|
65-69.9 |
17 |
19 |
20 |
21 |
21 |
22 |
22 |
|
70-74.9 |
18 |
20 |
21 |
22 |
22 |
23 |
23 |
|
75-79.9 |
20 |
21 |
22 |
23 |
23 |
24 |
24 |
|
80-84.9 |
21 |
23 |
23 |
24 |
24 |
25 |
25 |
|
85-89.9 |
23 |
24 |
25 |
25 |
25 |
26 |
26 |
|
90-94.9 |
24 |
25 |
26 |
26 |
26 |
27 |
27 |
|
>= 95 |
25 |
26 |
27 |
27 |
27 |
28 |
28 |
