Measuring Medical Burden Using CIRS in Older Veterans Enrolled in UPBEAT, a Psychogeriatric Treatment Program: A Pilot Study

Abstract

Results suggest that the CIRS can be used as an indicator of medical burden even with the inclusion of acute conditions. If replicated, these findings may increase CIRS use and thus aid the effort to encourage clinicians working with psychogeriatric patients to use standardized instruments to document medical burden.

Age-related differences in the expression of circulating microRNAs: miR-21 as a new circulating marker of inflammaging

“…Individuals were considered healthy if they did not have any major acute and/or chronic age-related diseases, such as acute myocardial infarction, congestive heart failure (CHF), Alzheimer's disease (AD), type 2 diabetes mellitus (T2DM) or cancer, at the time of blood collection. Moreover, the subjects with a Cumulative Illness Rating Scale (CIRS) > 2, which is indicative of a co-morbidity, were excluded (Mistry et al, 2004).…”

A retrospective multicenter analysis of elderly Hodgkin lymphoma: outcomes and prognostic factors in the modern era

“…Comorbidity was determined using the Cumulative Illness Rating Scale (CIRS), which assesses basic chronic medical illnesses taking into account the severity of each and has been revised and validated to reflect common geriatric problems (CIRS-G). 12,13 The presence of geriatric syndromes at diagnosis (dementia, delirium, depression, osteoporosis, incontinence, falls, failure to thrive, and/or neglect/abuse) and loss of activities of daily living (ADL; ie, loss in: activity of bathing, dressing, toileting, transferring, feeding, and/or continence) were also documented. "Fit" was defined as no loss of ADLs, less than 3 grade 3 CIRS-G comorbidities, no grade 4 CIRS-G, and no geriatric syndrome at diagnosis.…”

Cumulative Illness Rating Scale (CIRS) can be Used to Predict Hospital Outcomes in Older Adults

“…For example, The Cumulative Illness Rating Scale (CIRS) has been validated as a predictor of readmission for hospitalized older adults [3] and hospitalization within one year for older adults in a residential setting [4]. It has been validated as a predictor of long-term mortality when assessed in inpatient [3,5] and residential [4] settings. In a more recent study, however, it was found that non-medically trained raters and oncologists would have varying interpretations of comorbidity when assessing the same patient's medical records [6].…”