Laging et al developed a comorbidity score for evaluating a patient with end-stage renal disease (ESRD) prior to renal transplantation. The authors are from Erasmus Medical Center in Rotterdam.
Patient selection: end-stage renal disease (reason for ESRD not being included in score)
(1) cardiovascular disease
(2) cerebrovascular accident (CVA)
(3) peripheral vascular disease (PVD)
(4) diabetes mellitus
(5) liver disease
(6) lung disease
peripheral vascular disease
total score =
= SUM(points for all 8 parameters)
• minimum score: 0
• maximum score: 15
• The higher the score the greater the risk for mortality.
• The risk for mortality also increases with stage, starting after 40 years of age.
1 or 2
low to moderate
3 or 4
moderate to high
5 to 9
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