Royal College of Surgeons (RCS) Charlson Score for a Surgical Patient

Description

The Royal College of Surgeons (RCS) revisited the Charlson Comorbidity Index (CCI) for surgical patients. The presence of comorbid conditions can increase the risk of surgery. The authors are from the Royal College of Surgeons.

Items:

(1) myocardial infarction (AMI)

(2) congestive heart failure (CHF)

(3) peripheral vascular disease (PVD)

(4) cerebrovascular disease (CVD)

(5) dementia

(6) chronic pulmonary disease (CPD)

(7) rheumatological disease (RD)

(8) liver disease

(9) diabetes mellitus (DM)

(10) hemiplegia or paraplegia (HP/PG)

(11) renal disease

(12) any malignancy

(13) metastatic solid cancer

(14) HIV infection including AIDS

Item	ICD-10	ICD-10 in past year
AMI	I252	I21, I22, I23
CHF	I11, I13, I255, I42, I43, I50, I517
PVD	I70-I73, I770, I771, K551, K558, K559, R02, Z958, Z959
CVD	G45, G46, I60-I69
dementia	A810, F00-F03, F051.G30, G31
CPD	I25, I27, J40-J45, J47, J60-J67, J684, J701, J703	J46
RD	M05, M06, M09, M120, M315, M32-M36
liver disease	B18, I85, I864, I982, K70, K71, K721, K729, K76, R162, Z944
DM	E10-E14
HP/PG	G114, G81-G83
renal disease	I12, I13, No1, N03. N05, N08, N19, N25, Z49, Z940, Z992	N171, N172, N19
malignancy	C00-C26, C30-C34, C37-C41, C43, C45-C58, C60-C76, C80, C85, C88, C90-C97
metastatic	C77-C79
HIV	B20-B24

number of items present =

= MIN(3, SUM(number of conditions with matching ICD-10 numbers))

Interpretation:

• minimum score: 0

• maximum score: 3

Performance:

• The area under the ROC curve varies with the procedure. It ranged from 0.70 to 0.87.

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