NCI Comorbidity Index
The Charlson Comorbidity Index is a a weighted index to predict risk of death within 1 year of hospitalization for patients with specific comorbid conditions.
Each condition is assigned a weight from 1 to 6, based on the estimated 1-year mortality hazard ratio from a Cox proportional hazards model.
Charlson Comorbidity Index (CCI) Predicts 10-year survival in patients with multiple comorbidities.
Scores at Age
History of definite or probable MI aged on EKG changes and/or enzyme changes
No 0 Yes+1
CHF Exertional or paroxysmal nocturnal dyspnea and has responded to digitalis, diuretics, or afterload reducing agents No 0 Yes+1
Peripheral vascular disease Intermittent claudication or past bypass for chronic arterial insufficiency, history of gangrene or acute arterial insufficiency, or untreated thoracic or abdominal aneurysm (≥6 cm) No0 Yes+1
CVA or TIA No0 Yes+1
Dementia Chronic cognitive deficit No0 Yes+1
COPD No0 Yes+1
Connective tissue disease No0 Yes+1
Peptic ulcer disease Any history of treatment for ulcer disease or history of ulcer bleeding No0 Yes+1
Liver disease Severe = cirrhosis and portal hypertension with variceal bleeding history, moderate = cirrhosis and portal hypertension but no variceal bleeding history, mild = chronic hepatitis (or cirrhosis without portal hypertension) None0 Mild+1 Moderate to severe+3
Diabetes mellitus None or diet-controlled0 Uncomplicated+1 End-organ damage+2
Hemiplegia No0 Yes+2
Moderate to severe CKD Severe = on dialysis, status post kidney transplant, uremia, moderate = creatinine >3 mg/dL (0.27 mmol/L) No0 Yes+2
Solid tumor None0 Localized+2 Metastatic+6
Leukemia No0 Yes+2
Lymphoma No0 Yes+2
AIDS No0 Yes+6