A comparison of two comorbidity indices for predicting inpatient rehabilitation outcomes

New, Peter W; Earnest, Arul; Scroggie, Grant

doi:10.23736/s1973-9087.17.04367-2

Cited by 7 publications

(3 citation statements)

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“… 7 Similarly, no association between comorbidities and RLOS, total FIM gain, or community discharge rate was demonstrated in a study consisting of 280 patients (26% with ischemic/hemorrhagic stroke, 22% with other neurologic conditions, 52% with orthopedic conditions). 38 …”

Section: Discussionmentioning

confidence: 99%

Acute Inpatient Rehabilitation Improves Function Independent of Comorbidities in Medically Complex Patients

Zhang

Lin

Wright

et al. 2022

Archives of Rehabilitation Research and Clinical Translation

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Section: Discussionmentioning

confidence: 99%

Acute Inpatient Rehabilitation Improves Function Independent of Comorbidities in Medically Complex Patients

Zhang

Lin

Wright

et al. 2022

Archives of Rehabilitation Research and Clinical Translation

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“…Several researchers have reported that comorbidities can predict poor functional recovery or prolonged hospital stay in patients with stroke [ 7 , 8 ], hip fracture [ 8 , 9 ], or coronary bypass graft [ 10 ]. In contrast, some studies have reported that comorbidities do not predict functional recovery after rehabilitation in patients with burn injuries [ 11 ] and spinal cord injuries [ 12 ], or in a mixed population with neurological conditions, deconditioning after acute events, and orthopedic conditions [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Influences of comorbidities on perioperative rehabilitation in patients with gastrointestinal cancers: a retrospective study

Seriu,

Tsukamoto,

Ishida

et al. 2023

World J Surg Onc

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Background Older patients are more likely to have comorbidities than younger patients, and multiple comorbidities are associated with mortality in patients with cancer. Therefore, we hypothesized that a functional comorbidity index could predict the therapeutic effects of rehabilitation. Objectives In this study, we investigate whether the comorbidities influenced the execution and therapeutic effects of rehabilitation. Methods A consecutive cohort of 48 patients with gastrointestinal cancer who underwent surgery between January 1 and November 30, 2020, was analyzed. Charlson Comorbidity Index (CCI) scores were calculated based on data derived from medical records. The primary outcomes were ambulation status, duration (days) from the start of postoperative rehabilitation, and length of hospital stay. We investigated the relationship between CCI scores and primary outcomes. Results The CCI did not correlate with the duration of rehabilitation or the length of hospital stay. Subsequently, patients with functional recovery problems were evaluated, and we identified the conditions that were not included in the list using CCI scores. Most conditions are associated with surgical complications. Furthermore, using the Clavien-Dindo classification (CDC), we assessed the clinical features of the severity of complications. We found that the length of stay and the duration to start rehabilitation were significantly longer in the patients with higher severity of surgical complications (CDC≧III) than in those with lower severity (CDC≦II). Conclusions Treatment-related conditions may significantly impact the perioperative period more than the original comorbidities. In addition to original comorbidities, events related to surgical complications should be assessed to determine the therapeutic effects of rehabilitation in patients with gastrointestinal cancer.

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“…observan que el CCI no tiene en cuenta incontinencia, condición prevalente en edades longevas, y que esto lo hace menos adecuado para su uso en esta franja etaria. New et al31 no lo consideran útil para medir el impacto en los resultados de rehabilitación. Martínez-Velilla et al15 realizaron un seguimiento en pacientes > 75 años tras ingreso hospitalario y concluyeron que el CCI no refleja el efecto global de la complejidad en esta franja de edad.El coeficiente Kappa de Cohen mide el acuerdo entre dos evaluaciones para variables categóricas.…”

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Utilidad del índice de comorbilidad de Charlson en personas ancianas. Concordancia con otros índices de comorbilidad

et al. 2021

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Objetivo. El objetivo principal de nuestro estudio fue evaluar la utilidad actual del índice de comorbilidad de Charlson (CCI) para predecir la mortalidad en personas mayores y la concordancia entre varios índices. Diseño. Estudio observacional, cohorte concurrente. Emplazamiento. Servicio de Medicina Interna de un hospital terciario, pacientes ambulatorios de un centro de salud y residentes de cuatro hogares de ancianos. Participantes. 375 individuos ≥ 65 años, con supervivencia esperada ≥ 6 meses, sin deterioro cognitivo. Mediciones principales. Se realizaron tres índices: CCI, el índice geriátrico de comorbilidad (GIC) y el índice de Kaplan-Feinstein (KF). A los 12 meses, se registró mortalidad. Los datos se analizaron con IBM SPSS Statistics® versión 23.0. Resultados. Edad media: 81,4 años. El CCI mostró comorbilidad baja-media en el grupo ambulatorio de 65-75 años (43 [75,4%]); moderada-alta más común en hospitalizados (19 [61,3%]) y en hogares de ancianos (5 [62,5%]). Al año fallecieron 59 (16,1%) individuos: con CCI: 10 (6,4%) comorbilidad baja-media y 49 (23,3%) moderada-alta, odds ratio (OR) 3,63 (intervalo de confianza [IC] 95% 1,76-7,51); con KF: 27 (13,3%) baja-media y 32 (19,5%) moderada-alta, OR 1,38 (IC 95% 0,78-2,44), y con GIC: 45 (14,1%) baja-media y 14 (29,2%) moderada-alta, OR 2,47 (IC 95% 1,21-5,06). La concordancia entre CCI-KF fue: 65-75 años: K = 0,62, 76-85 años: K = 0,396, y ≥ 86 años: K = 0,255. La concordancia entre CCI-GIC: 65-75 años: K = 0,202, 76-85 años: K = 0,069, y ≥ 86 años: K = 0,118. Conclusión. El CCI es el mejor predictor de mortalidad después de 1 año de seguimiento. Concordancia considerable entre CCI y KF en los individuos de 65-75 años, en el resto de las franjas etarias la correlación con GIC fue insignificante. Palabras clave: comorbilidad, mortalidad, anciano frágil.

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A comparison of two comorbidity indices for predicting inpatient rehabilitation outcomes

Cited by 7 publications

References 0 publications

Acute Inpatient Rehabilitation Improves Function Independent of Comorbidities in Medically Complex Patients

Acute Inpatient Rehabilitation Improves Function Independent of Comorbidities in Medically Complex Patients

Influences of comorbidities on perioperative rehabilitation in patients with gastrointestinal cancers: a retrospective study

Utilidad del índice de comorbilidad de Charlson en personas ancianas. Concordancia con otros índices de comorbilidad

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