The prognostic role of Charlson comorbidity index for critically ill elderly patients

Abdulkerim YILDIZ; Ali YİĞT; Ali Ramazan BENLİ

doi:https://doi.org/10.18621/eurj.451391

Article Details

The prognostic role of Charlson comorbidity index for critically ill elderly patients

Authors:

Abdulkerim YILDIZ | Ali YİĞT | Ali Ramazan BENLİ

Publisher:

Prusa Medical Publishing

Main Topics:

Diseases

Journal:

The European Research Journal 2020 Vol.6 Issue 1, pp.67-72

Document Type:

Article

Publication Date:

1/2020

Document Language:

English

Document ID (Org No.):

2000662446

Frequency:

Bimonthly

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.451391

Abstract:

 


Objectives:
Comorbidities
represent a risk factor for adverse events in several critical illnesses. The
aim of this study was to identify the relationship between the Charlson
Comorbidity Index (CCI) with mortality and length of stay (LOS) in critically
ill elderly patients. 


Methods: A
retrospective analysis was made of patients admitted to our tertiary adult
intensive care unit (ICU) between January 2015 and January 2016. The impact of
comorbidity was evaluated with the CCI. Other required data were retrieved from
the patients' follow-up records. 


Results: The
study included a total of 251 patients. The mean age was 78.79 ± 6.70 years. The total
mortality rate was 41.0%. The most common cause for admission was sepsis and
acute respiratory failure (18.3% vs 18.3%). The median APACHE II score was
significantly higher in non-survivors than survivors (31.0 [13.0-47.0] vs 21.0
[9.0-40.0]; p  3 had
higher mortality than those with CCI ≤ 3
(p < 0.05). The odds ratio of the
APACHE II score for mortality was 1.214 (95% CI: 1.154-1.276), and for CCI it
was 1.320
(95% CI: 1.088-1.602). There was a significant positive correlation between CCI
and LOS (r=0.147; p = 0.020). 









Conclusions: CCI
is strongly associated with both mortality and LOS. It can be used as a
prognostic marker for elderly patients in critical care. 



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Article Details

The prognostic role of Charlson comorbidity index for critically ill elderly patients

Authors: Abdulkerim YILDIZ | Ali YİĞT | Ali Ramazan BENLİ

Publisher: Prusa Medical Publishing

Main Topics: Diseases

Journal: The European Research Journal 2020 Vol.6 Issue 1, pp.67-72

Document Type: Article

Publication Date: 1/2020

Document Language: English

Document ID (Org No.): 2000662446

Frequency: Bimonthly

eISSN: 2149-3189

DOI: https://doi.org/10.18621/eurj.451391

Issues

Authors:

Abdulkerim YILDIZ | Ali YİĞT | Ali Ramazan BENLİ

Publisher:

Prusa Medical Publishing

Main Topics:

Diseases

Journal:

The European Research Journal 2020 Vol.6 Issue 1, pp.67-72

Document Type:

Article

Publication Date:

1/2020

Document Language:

English

Document ID (Org No.):

2000662446

Frequency:

Bimonthly

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.451391