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2011, Number 2

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Rev Med Inst Mex Seguro Soc 2011; 49 (2)

Assessment of comorbidity in elderly

Rosas-Carrasco O, González-Flores E, Brito-Carrera AM, Vázquez-Valdez OE, Peschard-Sáenz E, Gutiérrez-Robledo LM,García-Mayo JE

Language: Spanish
References: 33
Page: 153-162
PDF size: 60.86 Kb.


ABSTRACT

The objective was to offer to the clinical researchers who work on elderly and health field a review of the main instruments use for assessment the presence of comorbidity in elderly. A systematic quest at Medline using keywords was made. A group of experts on geriatric and internal medicine physicians was integrated for the evaluation of paper found. The group analyzed the structure, clinical utility, clinimetrics properties, focus on elderly patients. This communication included the four main tools: Charlson´s comorbidity index, Geriatric index of comorbidity, Kaplan-Feinstein’s index and Cumulative Illness Rating Scale- Geriatric (CIRS-G). Each of them showed adequate clinometric properties, although, the assessment of CIRS-G requires a health professional more skilled on clinical examination, all of these indexes have been shown to have a good predictive value about functional impairment and mortality. However, the choice of the index by researchers depends on the context of the study.


REFERENCES

  1. Menéndez J, Guevara A, Arcia N, León-Díaz EM, Marín C, Alfonso JC. Enfermedades crónicas y limitación funcional en adultos mayores: estudio comparativo en siete ciudades de América Latina y el Caribe. Rev Panam Salud Publica 2005;17(5-6):353-361.

  2. de Luise C, Brimacombe M, Pedersen L, Sorensen HT. Comorbidity and mortality following hip fracture: a populationbased cohort study. Aging Clin Exp Res 2008;20 (5):412-418.

  3. Fried LP, Bandeen-Roche K, Kasper JD, Guralnik JM. Association of comorbidity with disability in older women: the women’s health and aging study. J Clin Epidemiol 1999;52(1):27-37.

  4. Fortin M, Hudon C, Dubois MF, Almirall J, Lapointe L, Soubhi H. Comparative assessment of three different indices of multimorbidity for studies on health-related quality of life. Health Qual Life Outcomes 2005;23(3):74.

  5. Feinstein AR. The pre-therapeutic classification of co-morbidity in chronic disease. J Chronic Dis 1970;23(7): 455-468.

  6. Kaplan MH, Feinstein AR. The importance of classifying initial co-morbidity in evaluatin the outcome of diabetes mellitus. J Chronic Dis 1974;27(7-8):387-404.

  7. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40(5):373-383.

  8. de Groot V, Beckerman H, Lankhorst GJ, Bouter LM. How to measure comorbidity. A critical review of available methods. J Clin Epidemiol 2003;56(3):221-229.

  9. Newman AB, Boudreau RM, Naydeck BL, Fried LF, Harris TB. A physiologic index of comorbidity: relationship to mortality and disability. J Gerontol A Biol Sci Med Sci 2008;63(6):603-609.

  10. Guillermin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993; 46(12):1417-1432.

  11. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40(5):373-383.

  12. Newschaffer CJ, Bush TL, Penberthy LT. Comorbidity measurement in elderly female breast cancer patients with administrative and medical records data. J Clin Epidemiol 1997;50(6):725-733.

  13. Charlson M, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol 1994; 47(11):1245-1251.

  14. Bravo G, Dubois MF, Hébert R, De Wals P Messier L. A prospective evaluation of the Charlson comorbidity index for use in long-term care patients. J Am Geriatr Soc 2002;50(4):740-745.

  15. Arfken CL, Lichtenberg PA, Kuiken T. Special feature: importance of comorbid illnesses in predicting mortality for geriatric rehabilitation. Top Geriatr Rehabil 1998;13 (4):69-76.

  16. Charlson ME, Charlson RE, Peterson JC, Marinopoulos SS, Briggs WM, Hollenberg JP. The Charlson comorbidity index is adapted to predict costs of chronic disease in primary care patients. J Clin Epidemiol 2008;61(12):1234-1240.

  17. Extermann M, Overcash J, Lyman GH, Parr J, Balducci L. Comorbidity and functional status are independent in older cancer patients. J Clin Oncol 1998;16(4):1582-1588.

  18. Rozzini R, Frisoni GB, Ferrucci L, Barbisoni P, Sabatini T, Ranieri P, et al. Geriatric index of comorbidity: validation and comparison with other measures of comorbidity. Age Ageing 2002;31(4):277-285.

  19. Rozzini R, Sabatini T, Barbisoni P, Trabucchi M. How to measure comorbidity in elderly persons. J Clin Epidemiol 2003;56(3):221-229.

  20. Greenfield S, Blanco D, Elashoff R. Development and testing of a new index of comorbidity. Clin Res 1987;35: 346.

  21. Marengoni A, Petroboni B, Casella S, Martinelli D, Cossi S. Total lymphocyte count and in-hospital mortality in older persons with multimorbidity. Aging Clin Exp Res 2008; 20(4):290-296.

  22. Marengoni A, Agüero-Torres H, Cossi S, Ghisla MK, De Martinis M, Leonardi R, et al. Poor mental and physical health differentially contributes to disability in hospitalized geriatric patients of different ages. Int J Geriatr Psychiatry 2004;19(1):27-34.

  23. Di Bari M, Virgillo A, Matteuzzi D, Inzitari M, Mazzaglia G, Pozzi C, et al. Predictive validity of measures of comorbidity in older community dwellers: the insufficienza cardiaca negli anziani residenti a dicomano study. J Am Geriatr Soc 2006; 54(2):210-216.

  24. Kaplan MH, Feinstein AR. The importance of classifying initial co-morbidity in evaluation the outcome of diabetes mellitus. J Chronic Dis 1974;27(7-8):387-404.

  25. Wang CY, Lin YS, Tzao C, Lee HC, Huang MH, Hsu WH, et al. Comparison of Charlson comorbidity index and Kaplan- Feinstein index in patients with stage I lung cancer after surgical resection. Eur J Cardiothorac Surg 2007; 32(6):877-881.

  26. Linn BS, Linn MW, Gurel L. Cumulative illness rating scale. J Am Geriatr Soc 1968;16(5):622-626.

  27. Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Rifai AH, et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res 1992; 41(3):237-248.

  28. Hudon C, Fortin M, Vanasse A. Cumulative Illnes Rating Scale was a reliable and valid index in a family practice context. J Clin Epidemiol 2005;58(6):603-608.

  29. Hudon C, Fortin M, Soubhi H. Abbreviated guidelines for scoring the Cumulative Illness Rating Scale (CIRS) in family practice. J Clin Epidemiol 2007;60(2):212.

  30. Salvi F, Miller MD, Grilli A, Giorgi R, Towers AL, Morichi V, et al. A manual of guidelines to score the modified cumulative illness rating scale and its validation in acute hospitalized elderly patients. J Am Geriatr Soc 2008;56 (10):1926-1931.

  31. Press Y, Grinshpun Y, Berzak A, Friger M, Clarfield AM. The effect of co-morbidity on the rehabilitation process in elderly patients after hip fracture. Arch Gerontol Geriatr 2007;45(3):281-294.

  32. Müller-Tasch T, Peters-Klimm F, Schellberg D, Holzapfel N, Barth A, Jünger J, et al. Depression is a major determinant of quality of life in patients with chronic systolic heart failure in general practice. J Card Fail 2007;13(10): 818-824.

  33. Wedding U, Roehrig B, Klippstein A, Steiner P, Schaeffer T, Pientka L, et. al. Comobidity in patients with cancer: prevalence and severity measured by cumulative illness rating scale. Crit Rev Oncol Hematol 2007;61(3):269-276.




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