Charlson comorbidity index and a composite of poor outcomes in COVID-19 patients: A systematic review and meta-analysis
The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. Therefore, thorough comorbidities assessment can help establish risk stratification of patients with COVID-19, upon hospital admission. Charlson Comorbidity Index (CCI) is a validated, simple, and readily appl...
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| Published in: | Diabetes & metabolic syndrome clinical research & reviews Vol. 14; no. 6; pp. 2103 - 2109 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Ltd
01-11-2020
Diabetes India. Published by Elsevier Ltd |
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| Abstract | The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. Therefore, thorough comorbidities assessment can help establish risk stratification of patients with COVID-19, upon hospital admission. Charlson Comorbidity Index (CCI) is a validated, simple, and readily applicable method of estimating the risk of death from comorbid disease and has been widely used as a predictor of long-term prognosis and survival.
We performed a systematic review and meta-analysis of CCI score and a composite of poor outcomes through several databases.
Compared to a CCI score of 0, a CCI score of 1–2 and CCI score of ≥3 was prognostically associated with mortality and associated with a composite of poor outcomes. Per point increase of CCI score also increased mortality risk by 16%. Moreover, a higher mean CCI score also significantly associated with mortality and disease severity.
CCI score should be utilized for risk stratifications of hospitalized COVID-19 patients.
•The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities.•Charlson Comorbidity Index (CCI) has been widely used as a predictor of long-term prognosis and survival.•Higher and per point increase of CCI Score is associated with poor outcomes.•CCI score should be utilized for risk stratifications of hospitalized COVID-19 patients. |
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| AbstractList | •
The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities.
•
Charlson Comorbidity Index (CCI) has been widely used as a predictor of long-term prognosis and survival.
•
Higher and per point increase of CCI Score is associated with poor outcomes.
•
CCI score should be utilized for risk stratifications of hospitalized COVID-19 patients. The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. Therefore, thorough comorbidities assessment can help establish risk stratification of patients with COVID-19, upon hospital admission. Charlson Comorbidity Index (CCI) is a validated, simple, and readily applicable method of estimating the risk of death from comorbid disease and has been widely used as a predictor of long-term prognosis and survival.BACKGROUND AND AIMSThe ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. Therefore, thorough comorbidities assessment can help establish risk stratification of patients with COVID-19, upon hospital admission. Charlson Comorbidity Index (CCI) is a validated, simple, and readily applicable method of estimating the risk of death from comorbid disease and has been widely used as a predictor of long-term prognosis and survival.We performed a systematic review and meta-analysis of CCI score and a composite of poor outcomes through several databases.METHODSWe performed a systematic review and meta-analysis of CCI score and a composite of poor outcomes through several databases.Compared to a CCI score of 0, a CCI score of 1-2 and CCI score of ≥3 was prognostically associated with mortality and associated with a composite of poor outcomes. Per point increase of CCI score also increased mortality risk by 16%. Moreover, a higher mean CCI score also significantly associated with mortality and disease severity.RESULTSCompared to a CCI score of 0, a CCI score of 1-2 and CCI score of ≥3 was prognostically associated with mortality and associated with a composite of poor outcomes. Per point increase of CCI score also increased mortality risk by 16%. Moreover, a higher mean CCI score also significantly associated with mortality and disease severity.CCI score should be utilized for risk stratifications of hospitalized COVID-19 patients.CONCLUSIONCCI score should be utilized for risk stratifications of hospitalized COVID-19 patients. The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. Therefore, thorough comorbidities assessment can help establish risk stratification of patients with COVID-19, upon hospital admission. Charlson Comorbidity Index (CCI) is a validated, simple, and readily applicable method of estimating the risk of death from comorbid disease and has been widely used as a predictor of long-term prognosis and survival. We performed a systematic review and meta-analysis of CCI score and a composite of poor outcomes through several databases. Compared to a CCI score of 0, a CCI score of 1–2 and CCI score of ≥3 was prognostically associated with mortality and associated with a composite of poor outcomes. Per point increase of CCI score also increased mortality risk by 16%. Moreover, a higher mean CCI score also significantly associated with mortality and disease severity. CCI score should be utilized for risk stratifications of hospitalized COVID-19 patients. •The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities.•Charlson Comorbidity Index (CCI) has been widely used as a predictor of long-term prognosis and survival.•Higher and per point increase of CCI Score is associated with poor outcomes.•CCI score should be utilized for risk stratifications of hospitalized COVID-19 patients. The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. Therefore, thorough comorbidities assessment can help establish risk stratification of patients with COVID-19, upon hospital admission. Charlson Comorbidity Index (CCI) is a validated, simple, and readily applicable method of estimating the risk of death from comorbid disease and has been widely used as a predictor of long-term prognosis and survival. We performed a systematic review and meta-analysis of CCI score and a composite of poor outcomes through several databases. Compared to a CCI score of 0, a CCI score of 1-2 and CCI score of ≥3 was prognostically associated with mortality and associated with a composite of poor outcomes. Per point increase of CCI score also increased mortality risk by 16%. Moreover, a higher mean CCI score also significantly associated with mortality and disease severity. CCI score should be utilized for risk stratifications of hospitalized COVID-19 patients. |
| Author | Pranata, Raymond Henrina, Joshua Lawrensia, Sherly Anthonius Lim, Michael Suastika, Ketut Tuty Kuswardhani, R.A. |
| Author_xml | – sequence: 1 givenname: R.A. surname: Tuty Kuswardhani fullname: Tuty Kuswardhani, R.A. email: tutykuswardhani@yahoo.com, tutykuswardhani@unud.ac.id organization: Department of Internal Medicine, Faculty of Medicine, Udayana University, Sanglah Teaching Hospital, Denpasar- Bali, Indonesia – sequence: 2 givenname: Joshua surname: Henrina fullname: Henrina, Joshua email: joshuahenrina@gmail.com organization: RSUD Balaraja, Tangerang, Indonesia – sequence: 3 givenname: Raymond surname: Pranata fullname: Pranata, Raymond email: raymond_pranata@hotmail.com organization: Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia – sequence: 4 givenname: Michael surname: Anthonius Lim fullname: Anthonius Lim, Michael email: lim.michael.a@gmail.com organization: Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia – sequence: 5 givenname: Sherly surname: Lawrensia fullname: Lawrensia, Sherly email: sherlylawrensia@gmail.com organization: Ken Saras General Hospital, Semarang, Indonesia – sequence: 6 givenname: Ketut surname: Suastika fullname: Suastika, Ketut email: ksuas@unud.ac.id organization: Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Udayana University Denpasar, Bali, Indonesia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33161221$$D View this record in MEDLINE/PubMed |
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| Keywords | COVID-19 Severity Mechanical ventilation Mortality Charlson comorbidity index |
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| Snippet | The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. Therefore, thorough comorbidities assessment can help establish risk... • The ongoing COVID-19 pandemic is disproportionately affecting patients with comorbidities. • Charlson Comorbidity Index (CCI) has been widely used as a... |
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| SubjectTerms | Charlson comorbidity index Comorbidity - trends COVID-19 COVID-19 - diagnosis COVID-19 - mortality COVID-19 - therapy Hospitalization - trends Humans Mechanical ventilation Mortality Prospective Studies Retrospective Studies Risk Assessment - trends Severity |
| Title | Charlson comorbidity index and a composite of poor outcomes in COVID-19 patients: A systematic review and meta-analysis |
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