Document Detail


Utility of the Charlson comorbidity index computed from routinely collected hospital discharge diagnosis codes.
MedLine Citation:
PMID:  10786063     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study aims to determine whether the Charlson comorbidity index computed from ICD-9-CM discharge diagnosis codes adds additional information to a model containing adjustment for more informed patient details (e.g., disease severity and history), besides solely age and sex, when predicting long-term survival. We conducted a retrospective cohort study of patients admitted to hospital for suspected acute myocardial infarction. Index scores were calculated by applying the D'Hoore et al. algorithm (1993). The index significantly improved the model fit (likelihood ratio test: p < 0.001). The D'Hoore-adapted Charlson index is a useful comorbidity risk adjustment tool when applied to AMI and angina patients.
Authors:
R L O'Connell; L L Lim
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Methods of information in medicine     Volume:  39     ISSN:  0026-1270     ISO Abbreviation:  Methods Inf Med     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-06-06     Completed Date:  2000-06-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210453     Medline TA:  Methods Inf Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  7-11     Citation Subset:  IM    
Affiliation:
Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, Australia. roconnel@cceb.newcastle.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cause of Death
Comorbidity
Data Collection / statistics & numerical data*
Female
Hospital Mortality
Hospital Records / statistics & numerical data*
Humans
Male
Middle Aged
Myocardial Infarction / mortality*
New South Wales / epidemiology
Patient Discharge / statistics & numerical data*
Risk Adjustment
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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