Evidence map›Paper›PMID 32519240›Full record

ArticleInternational urology and nephrology2020

The Charlson Comorbidity Index: can it predict the outcome in acute kidney injury?

Serkan Feyyaz Yalin, Alev Bakir, Sinan Trabulus, Nurhan Seyahi, Mehmet Riza Altiparmak

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Article in International urology and nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Serkan Feyyaz YalinDivision of Nephrology, Department of Internal Medicine, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey. serkanfyalin@yahoo.com.ORCID http://orcid.org/0000-0002-8146-6966
Alev BakirDepartment of Biostatistics and Medical Informatics, Faculty of Health Sciences, Halic University, Istanbul, Turkey.
Sinan TrabulusDivision of Nephrology, Department of Internal Medicine, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
Nurhan SeyahiDivision of Nephrology, Department of Internal Medicine, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
Mehmet Riza AltiparmakDivision of Nephrology, Department of Internal Medicine, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComorbidity has a significant impact on the health status and treatment outcome of a patient. The Charlson comorbidity index (CCI) is a frequently used scoring system, which evaluates the prognosis based on the patient's comorbid conditions. The aim of this study was to evaluate the usefulness of CCI in predicting the mortality and renal recovery in non-critically ill patients with severe AKI.

methodsA total of 530 adult patients who were referred from the emergency department and underwent intermittent urgent hemodialysis (uHD) were enrolled in the study. Personal history for comorbidities were recorded and then assessed using the CCI.

resultsThe mean CCI score was 3.3 ± 2.6. In our multivariate analysis, higher white blood cell count was associated with mortality (p = 0.023). The other parameters including CCI score were not found to be significantly associated with mortality excluding patients with sepsis. Moreover, the CCI was not significantly useful in the discrimination of patients with complete recovery from patients who remained dependent to dialysis.

conclusionsWe could not find significant association between CCI and short-term hospital mortality and renal outcome. Whereas, malnutrition, inflammation and general aging may have impact on short-term mortality among patients.

Indexed as

Acute Kidney InjuryAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSeverity of Illness IndexAcute kidney injuryCharlson comorbidity indexHemodialysisOutcome

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