Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes

Abstract

Objective: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. Method: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen in the emergency department. Charlson index scores greater than 2 showed a high rate of comorbidity (mortality risk). T-test and analysis of variance were applied in the analyses. Results: There was a significant difference between the Charlson comorbidity index and the risk classification, with higher scores found in patients classified in the white (2.57) and red (2.06) categories. Patients with vascular, endocrine, neurological, cardiologic, or device problems, and those who underwent a head tomography had a high rate of comorbidity. In addition, those admitted, transferred, or who died in the emergency room had significantly higher index scores compared to those who were discharged from the hospital. Conclusion: The high rate of comorbidity was associated with the categories of risk classification, main and nonspecific complaints, performance of a head tomography, and patient outcomes in the emergency room.

Phlebitis in Medical-Surgical Units

“…The demographic and clinical data collected included type of admission (medical or surgical), sex, age, length of stay, diagnostic hypothesis, presence of comorbidities, the risk for venous thromboembolism (VTE), and reduced mobility. Comorbidity was defined as a health condition present regardless of the main diagnosis 12. The Charlson Comorbidity Index (ICC) is a widely used score that can calculate patient morbidity by assigning a weight according to the number and severity of comorbidity (Table 1).…”

“…Comorbidity was defined as a health condition present regardless of the main diagnosis. 12 The Charlson Comorbidity Index (ICC) is a widely used score that can calculate patient morbidity by assigning a weight according to the number and severity of comorbidity (Table 1). 13 The data collected regarding the insertion and the device included the type of peripheral device (closed or open peripheral IV catheter system), gauge, dwell time of the PIVC, number of PIVCs inserted, and characteristics.…”

The impact of centralized coronary stent procurement program on acute myocardial infarction treatments: evidence from China

“…Furthermore, age-related comorbidities and the physiological changes that come with aging can influence the outcomes we are examining ( 24 , 25 ). And Charlson Index (CCI) is a widely recognized tool for assessing the risk of mortality from comorbidities ( 26 ). Including the Charlson Index in our model allows us to adjust for the confounding effects of comorbidities, ensuring that our findings reflect the impact of the intervention itself and not the underlying health status of the patients.…”

The risk factors of the 72-h unscheduled return visit admission to emergency department in adults below 50 years old

“…Extensive exploration and verification of the characteristics of 72-h URVs have been conducted in numerous studies, with comorbidity assessment, such as the Charlson Comorbidity Index (CCI), being utilized to predict the 30-day mortality rate for elderly patients visiting the emergency department (ED) [ 14 , 15 ]. Additionally, a higher CCI score has been associated with admission, transfer, or death in the ED [ 16 ]. Existing evidence strongly supports the notion that elderly patients with a high CCI are highly prone to revisiting the ED within a 72-h timeframe.…”