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Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes*
OBJECTIVE: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. METHOD: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Universidade de São Paulo, Escola de Enfermagem
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132840/ https://www.ncbi.nlm.nih.gov/pubmed/35080236 http://dx.doi.org/10.1590/1980-220X-REEUSP-2020-0162 |
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author | de Jesus, Ana Paula Santos Okuno, Meiry Fernanda Pinto Campanharo, Cassia Regina Vancini Lopes, Maria Carolina Barbosa Teixeira Batista, Ruth Ester Assayag |
author_facet | de Jesus, Ana Paula Santos Okuno, Meiry Fernanda Pinto Campanharo, Cassia Regina Vancini Lopes, Maria Carolina Barbosa Teixeira Batista, Ruth Ester Assayag |
author_sort | de Jesus, Ana Paula Santos |
collection | PubMed |
description | OBJECTIVE: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. METHOD: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen in the emergency department. Charlson index scores greater than 2 showed a high rate of comorbidity (mortality risk). T-test and analysis of variance were applied in the analyses. RESULTS: There was a significant difference between the Charlson comorbidity index and the risk classification, with higher scores found in patients classified in the white (2.57) and red (2.06) categories. Patients with vascular, endocrine, neurological, cardiologic, or device problems, and those who underwent a head tomography had a high rate of comorbidity. In addition, those admitted, transferred, or who died in the emergency room had significantly higher index scores compared to those who were discharged from the hospital. CONCLUSION: The high rate of comorbidity was associated with the categories of risk classification, main and nonspecific complaints, performance of a head tomography, and patient outcomes in the emergency room. |
format | Online Article Text |
id | pubmed-10132840 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Universidade de São Paulo, Escola de Enfermagem |
record_format | MEDLINE/PubMed |
spelling | pubmed-101328402023-04-27 Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes* de Jesus, Ana Paula Santos Okuno, Meiry Fernanda Pinto Campanharo, Cassia Regina Vancini Lopes, Maria Carolina Barbosa Teixeira Batista, Ruth Ester Assayag Rev Esc Enferm USP Original Article OBJECTIVE: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. METHOD: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen in the emergency department. Charlson index scores greater than 2 showed a high rate of comorbidity (mortality risk). T-test and analysis of variance were applied in the analyses. RESULTS: There was a significant difference between the Charlson comorbidity index and the risk classification, with higher scores found in patients classified in the white (2.57) and red (2.06) categories. Patients with vascular, endocrine, neurological, cardiologic, or device problems, and those who underwent a head tomography had a high rate of comorbidity. In addition, those admitted, transferred, or who died in the emergency room had significantly higher index scores compared to those who were discharged from the hospital. CONCLUSION: The high rate of comorbidity was associated with the categories of risk classification, main and nonspecific complaints, performance of a head tomography, and patient outcomes in the emergency room. Universidade de São Paulo, Escola de Enfermagem 2022-01-24 /pmc/articles/PMC10132840/ /pubmed/35080236 http://dx.doi.org/10.1590/1980-220X-REEUSP-2020-0162 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article de Jesus, Ana Paula Santos Okuno, Meiry Fernanda Pinto Campanharo, Cassia Regina Vancini Lopes, Maria Carolina Barbosa Teixeira Batista, Ruth Ester Assayag Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes* |
title | Association of the Charlson index with risk classification, clinical
aspects, and emergency outcomes*
|
title_full | Association of the Charlson index with risk classification, clinical
aspects, and emergency outcomes*
|
title_fullStr | Association of the Charlson index with risk classification, clinical
aspects, and emergency outcomes*
|
title_full_unstemmed | Association of the Charlson index with risk classification, clinical
aspects, and emergency outcomes*
|
title_short | Association of the Charlson index with risk classification, clinical
aspects, and emergency outcomes*
|
title_sort | association of the charlson index with risk classification, clinical
aspects, and emergency outcomes* |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132840/ https://www.ncbi.nlm.nih.gov/pubmed/35080236 http://dx.doi.org/10.1590/1980-220X-REEUSP-2020-0162 |
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