Identifying co-morbidity in surgical patients using administrative data with the Royal College of Surgeons Charlson Score

Armitage, James; Meulen, Jan van der

doi:10.1002/bjs.6930

Cited by 308 publications

(279 citation statements)

References 21 publications

(53 reference statements)

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“…As a secondary assessment, following a recent consensus statement on the use of administrative data in risk adjustment 14 , the recording of the co-morbidities contained in the Royal College of Surgeons (RCS) Charlson score was quantified. Risk adjustment of mortality analyses was done using a model containing age, sex and the RCS Charlson score.…”

Section: Co-morbiditiesmentioning

confidence: 99%

Multicentre study of the quality of a large administrative data set and implications for comparing death rates

Holt¹,

Poloniecki

Thompson³

2011

British Journal of Surgery

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Section: Co-morbiditiesmentioning

confidence: 99%

Multicentre study of the quality of a large administrative data set and implications for comparing death rates

Holt¹,

Poloniecki

Thompson³

2011

British Journal of Surgery

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“…Using the HES episode history up to one year prior to the hip replacement, the presence of any co-morbid conditions of this subgroup was assessed using the method described by Armitage et al 10 The number of co-morbid conditions is presented using the Royal College of Surgeons Charlson score, defined as a score of 0, 1, 2, 3 or more.…”

Section: Co-morbiditymentioning

confidence: 99%

Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery

Stafford

Charman

Borroff

et al. 2012

annals

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INTRODUCTION This paper describes, for the first time, the outcomes of patients undergoing total hip replacement for acute fractured neck of femur (#NOF) as recorded by the National Joint Registry of England and Wales (NJR). METHODS In the NJR we identified 1,302 of 157,232 Hospital Episode Statistics linked patients who had been recorded as having a total hip replacement for acute #NOF between April 2003 and November 2008. RESULTS The revision rate at five years for fully uncemented components was 4.1% (95% confidence interval [CI]: 2.2-7.3%), for hybrid it was 2.2% (95% CI: 0.9%-5.3%) and for fully cemented components 0.9% (95% CI: 0.4-2.0%). Five-year revision rates were increased for those whose operations were performed via a posterior versus a lateral approach. The Kaplan-Meier estimate of 30-day mortality was 1.4% (95% CI: 1.0-2.4%), which is over double the 30-day mortality rate for total hip replacement identified by the Office for National Statistics. The mean length of stay was also increased for those undergoing total hip replacements for #NOF compared with non-emergency indications. CONCLUSIONS Our data suggest that total hip replacements for acute #NOF give comparable results with total hip replacements for other indications.

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“…The RCS Charlson score looks at 14 disease categories developed by a consensus group 23. Until now, the existing literature has focused on the PE rates in foot and ankle surgery as a whole, mostly including trauma cases due to the higher volumes compared to elective surgery.…”

Section: Discussionmentioning

confidence: 99%

“…This is a validated tool that is a count of chronic comorbid conditions that may affect the outcome of surgery. 23 We combined the comorbidity count to form two groups for analysis; this was due to the small numbers of PEs in each group.…”

Section: Analytical Approachmentioning

confidence: 99%

Pulmonary embolism and mortality following total ankle replacement: a data linkage study using the NJR data set

et al. 2016

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ObjectiveTo determine the mortality rate following total ankle replacement (TAR) and incidence of 90 day pulmonary embolism (PE) along with the associated risk factors.DesignData-linkage study of the UK National Joint Registry (NJR) data and Hospital Episodes Statistics (HES) database. Linkage was performed in a deterministic fashion. HES episodes 90 days after the index procedure were analysed for PE. Mortality data were obtained pertaining to all the index procedures from the NJR for analysis.ParticipantsAll primary and revision ankle replacement patients captured on the NJR between February 2008 and February 2013.ResultsThe 90-day mortality following TAR was 0.13% (95% CI 0.03 to 0.52) and 1-year mortality was 0.72% (95% CI 0.40 to 1.30); no deaths were as a result of PE. The incidence of PE within 90 days following primary TAR was 0.51% (95% CI 0.23 to 1.13). There was only one PE following revision surgery. Patients with an Royal College of Surgeons Charlson score greater than zero were at 13 times greater risk of PE (p=0.003).ConclusionsThere is low incidence of PE following TAR, but multiple comorbidities are a leading risk factor for its occurrence.

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Identifying co-morbidity in surgical patients using administrative data with the Royal College of Surgeons Charlson Score

Abstract: The RCS Charlson Score identifies co-morbidity in surgical patients in England at least as well as existing instruments. Given its explicit coding philosophy, it may be used as a co-morbidity scoring instrument for international comparisons.

Cited by 308 publications

References 21 publications

Multicentre study of the quality of a large administrative data set and implications for comparing death rates

Multicentre study of the quality of a large administrative data set and implications for comparing death rates

Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery

Pulmonary embolism and mortality following total ankle replacement: a data linkage study using the NJR data set

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