Evidence map›Paper›PMID 26604529›Full record

ReviewJournal of emergencies, trauma, and shock

Comorbidity polypharmacy score and its clinical utility: A pragmatic practitioner's perspective.

Stanislaw P Stawicki, Sarathi Kalra, Christian Jones, Carla F Justiniano, Thomas J Papadimos, Sagar C Galwankar, Scott M Pappada, John J Feeney, David C Evans

Abstract readReview
In one paragraph

Review in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

  1. Trial
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  3. Mortality prediction in older adults with earthquake-related trauma: a model combining MEWS and laboratory biomarkers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stanislaw P StawickiDepartment of Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA ; Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA.
Sarathi KalraDepartment of Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA ; Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA.
Christian JonesDepartment of Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Carla F JustinianoDepartment of Surgery, University of Rochester Medical Center, Rochester, New York, USA.
Thomas J PapadimosDepartment of Anesthesiology, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Sagar C GalwankarDepartment of Emergency Medicine, University of Florida, Jacksonville, Ohio, USA.
Scott M PappadaDepartment of Anesthesiology, The Ohio State University College of Medicine, Columbus, Ohio, USA.
John J FeeneyDivision of Performance Assessment & Augmentation, Aptima, Inc., Fairborn, Ohio, USA.
David C EvansDepartment of Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Modern medical management of comorbid conditions has resulted in escalating use of multiple medications and the emergence of the twin phenomena of multimorbidity and polypharmacy. Current understanding of how the polypharmacy in conjunction with multimorbidity influences trauma outcomes is limited, although it is known that trauma patients are at increased risk for medication-related adverse events. The comorbidity-polypharmacy score (CPS) is a simple clinical tool that quantifies the overall severity of comorbidities using the polypharmacy as a surrogate for the "intensity" of treatment necessary to adequately control chronic medical conditions. Easy to calculate, CPS is derived by counting all known pre-injury comorbid conditions and medications. CPS has been independently associated with mortality, increased risk for complications, lower functional outcomes, readmissions, and longer hospital stays. In addition, CPS may help identify older trauma patients at risk of post-emergency department undertriage. The goal of this article was to review and refine the rationale for CPS and to provide an evidence-based outline of its potential clinical applications.

Indexed as

Comorbidity-polypharmacy scoreelderly trauma patientestimation of frailtymultimorbidityphysiologic agepublic healthworld demographics

Identifiers

PMID26604529
PMCPMC4626940

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.