Torres-Espindola et al reported a comorbidity index for pediatric patients. This had some modification from the categories reported by Tai et al. The authors are from multiple health institutes in Mexico City.
Patient selection: pediatric patients
Items recorded at diagnosis and patient admission.
Items scored 1 point if present:
(1) granulocytosis
(2) pneumonia
(3) hydrocephalus
(4) pyrexia
(5) coagulopathy
(6) septicemia
(7) type 1 diabetes
(8) cardiac arrhythmia
(9) mild hepatopathy
(10) pulmonary contusion
(11) obesity
(12) short stature
Items scored 2 points if present:
(1) pneumonitis
(2) acidosis
(3) hypertension
(4) malnutrition
(5) cerebrovascular event
(6) traumatic brain injury (TBI)
(7) candidiasis
(8) renal disease
(9) malignant lymphoma
(10) solid tumor without metastasis
(11) congenital heart disease
Items scored 4 points if present:
(1) heart failure
(2) leukemia
(3) shock
(4) asphyxia
(5) genetic syndrome
(6) HIV/AIDS
(7) solid tumor with metastasis
(8) diabetes insipidus
(9) brain cancer
where:
• An entry for severe hepatopathy is not seen.
• Uncertain if pneumonia and pneumonitis are mutually exclusive.
• Brain cancer is separate from solid cancer.
total score =
= SUM(points for all of the items)
Interpretation:
• minimum score: 0
• maximum theoretical score: 68 (may be lower if other items are mutually exclusive)
|
Score
|
Comorbidity
|
|
0 to 2
|
absent
|
|
3 to 5
|
low
|
|
>= 6
|
high
|
