Refining the Charlson Comorbidity Index for use in long-term care patients
<h3 dir="ltr">Aim</h3><p dir="ltr">To evaluate the Charlson Comorbidity Index (CCI) for predicting outcomes in elderly long-term care patients.</p><h3 dir="ltr">Methods</h3><p dir="ltr">A retrospective cohort study ana...
محفوظ في:
| المؤلف الرئيسي: | |
|---|---|
| مؤلفون آخرون: | , , |
| منشور في: |
2025
|
| الموضوعات: | |
| الوسوم: |
إضافة وسم
لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!
|
| _version_ | 1864513524544307200 |
|---|---|
| author | Brijesh Sathian (479264) |
| author2 | Kawa Ghaforaziz Amin (22175812) Irfan Muneeb (22175815) Hanadi Al Hamad (12229412) |
| author2_role | author author author |
| author_facet | Brijesh Sathian (479264) Kawa Ghaforaziz Amin (22175812) Irfan Muneeb (22175815) Hanadi Al Hamad (12229412) |
| author_role | author |
| dc.creator.none.fl_str_mv | Brijesh Sathian (479264) Kawa Ghaforaziz Amin (22175812) Irfan Muneeb (22175815) Hanadi Al Hamad (12229412) |
| dc.date.none.fl_str_mv | 2025-09-03T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1080/13685538.2025.2554096 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Refining_the_Charlson_Comorbidity_Index_for_use_in_long-term_care_patients/31056742 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Charlson Comorbidity Index mortality prediction Qatar healthcare comorbidities long-term care |
| dc.title.none.fl_str_mv | Refining the Charlson Comorbidity Index for use in long-term care patients |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3 dir="ltr">Aim</h3><p dir="ltr">To evaluate the Charlson Comorbidity Index (CCI) for predicting outcomes in elderly long-term care patients.</p><h3 dir="ltr">Methods</h3><p dir="ltr">A retrospective cohort study analyzed health records of 172 hospitalized patients (aged ≥60) from Rumailah Hospital’s Geriatrics and Long-term Care Department, Qatar. CCI weights were updated using hazard ratios. Logistic regression and C-statistics assessed mortality outcomes.</p><h3 dir="ltr">Results</h3><p dir="ltr">Of the 172 patients, 61.5% were male, and 42% were Qatari. Diabetes without complications was the most common comorbidity (42.5%), while AIDS/HIV was absent. In-hospital or 30-day mortality was 6.3%, and 1-year mortality was 26.4%. Updated CCI weights improved risk prediction for diabetes (weight 6), renal disease (weight 4), and malignancies (weight 6), with myocardial infarction assigned zero weight due to low mortality risk. The revised model achieved a C-statistic of 0.9 for both in-hospital and 1-year mortality, surpassing the original CCI’s scores (0.8–0.9).</p><h3 dir="ltr">Conclusions</h3><p dir="ltr">The updated CCI, tailored for Qatar’s long-term care population, improves mortality prediction for conditions such as diabetes and renal disease. This context-specific tool improves risk stratification, underscoring the need for tailored prognostic models in Qatar’s evolving healthcare system.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: The Aging Male<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1080/13685538.2025.2554096" target="_blank">https://dx.doi.org/10.1080/13685538.2025.2554096</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_2c7afdd87b1052ba0406c004179d582d |
| identifier_str_mv | 10.1080/13685538.2025.2554096 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/31056742 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Refining the Charlson Comorbidity Index for use in long-term care patientsBrijesh Sathian (479264)Kawa Ghaforaziz Amin (22175812)Irfan Muneeb (22175815)Hanadi Al Hamad (12229412)Biomedical and clinical sciencesClinical sciencesHealth sciencesEpidemiologyCharlson Comorbidity Indexmortality predictionQatar healthcarecomorbiditieslong-term care<h3 dir="ltr">Aim</h3><p dir="ltr">To evaluate the Charlson Comorbidity Index (CCI) for predicting outcomes in elderly long-term care patients.</p><h3 dir="ltr">Methods</h3><p dir="ltr">A retrospective cohort study analyzed health records of 172 hospitalized patients (aged ≥60) from Rumailah Hospital’s Geriatrics and Long-term Care Department, Qatar. CCI weights were updated using hazard ratios. Logistic regression and C-statistics assessed mortality outcomes.</p><h3 dir="ltr">Results</h3><p dir="ltr">Of the 172 patients, 61.5% were male, and 42% were Qatari. Diabetes without complications was the most common comorbidity (42.5%), while AIDS/HIV was absent. In-hospital or 30-day mortality was 6.3%, and 1-year mortality was 26.4%. Updated CCI weights improved risk prediction for diabetes (weight 6), renal disease (weight 4), and malignancies (weight 6), with myocardial infarction assigned zero weight due to low mortality risk. The revised model achieved a C-statistic of 0.9 for both in-hospital and 1-year mortality, surpassing the original CCI’s scores (0.8–0.9).</p><h3 dir="ltr">Conclusions</h3><p dir="ltr">The updated CCI, tailored for Qatar’s long-term care population, improves mortality prediction for conditions such as diabetes and renal disease. This context-specific tool improves risk stratification, underscoring the need for tailored prognostic models in Qatar’s evolving healthcare system.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: The Aging Male<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1080/13685538.2025.2554096" target="_blank">https://dx.doi.org/10.1080/13685538.2025.2554096</a></p>2025-09-03T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1080/13685538.2025.2554096https://figshare.com/articles/journal_contribution/Refining_the_Charlson_Comorbidity_Index_for_use_in_long-term_care_patients/31056742CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/310567422025-09-03T03:00:00Z |
| spellingShingle | Refining the Charlson Comorbidity Index for use in long-term care patients Brijesh Sathian (479264) Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Charlson Comorbidity Index mortality prediction Qatar healthcare comorbidities long-term care |
| status_str | publishedVersion |
| title | Refining the Charlson Comorbidity Index for use in long-term care patients |
| title_full | Refining the Charlson Comorbidity Index for use in long-term care patients |
| title_fullStr | Refining the Charlson Comorbidity Index for use in long-term care patients |
| title_full_unstemmed | Refining the Charlson Comorbidity Index for use in long-term care patients |
| title_short | Refining the Charlson Comorbidity Index for use in long-term care patients |
| title_sort | Refining the Charlson Comorbidity Index for use in long-term care patients |
| topic | Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Charlson Comorbidity Index mortality prediction Qatar healthcare comorbidities long-term care |