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:: Volume 10, Issue 3 (6-2023) ::
2023, 10(3): 72-77 Back to browse issues page
The Charlson Comorbidity Index as a Predictor of mortality in hospitalized Covid-19 patients during the pandemic
Moslem Taheri Soodejani , Maryam Kazemi , Seyyed Mohammad Tabatabaei , Mohammad Hassan Lotfi
Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , moslemtaheri7@gmail.com
Abstract:   (187 Views)
Introduction: This study aimed to predict the risk of mortality among COVID-19 patients in the central region of Iran by employing the Charlson Comorbidity Index (CCI), with adjustments made for age in the predictive model.
Material & Methods: In this cross-sectional study, encompassing all probable, suspicious, and confirmed COVID-19 cases from the onset of the pandemic (55307 individuals), 3415 cases resulting in death were designated as the study group, while the survivors constituted the control group.
Results: The Charlson Comorbidity Index revealed that over 11 percent of all patients had at least one underlying medical condition. Logistic regression analysis indicated a significantly elevated likelihood of mortality among patients with comorbidities. Specifically, individuals with a CCI score of 6 or higher were more than twice as likely to succumb to the virus compared to those without underlying diseases. Those with a score of 6 or more exhibited the highest odds ratio (OR 2.4; 95% CI 1.3-4.5).
Conclusion: The study findings underscore the heightened vulnerability of individuals to COVID-19 mortality, particularly among the elderly with pre-existing health conditions. The coexistence of age and comorbidities substantially increased the risk of death due to COVID-19 in this population. Consequently, targeted interventions and focused care strategies may be crucial for this high-risk demographic in pandemic management efforts.
Keywords: Mortality, Prediction, Infection, Charlson Comorbidity Index
Full-Text [PDF 1614 kb]   (56 Downloads)    
Type of Study: Research | Subject: Epidemiology
Received: 2022/09/6 | Accepted: 2023/12/11 | Published: 2023/06/25
References
1. COVID-19 Coronavirus Pandemic 2022 [updated December 09, 2023. Available from: https://www.worldometers.info/coronavirus/
2. Soodejani MT, Tabatabaei SM, Dehghani A, McFarland W, Sharifi H. Impact of mass screening on the number of confirmed cases, recovered cases, and deaths due to COVID-19 in Iran: An interrupted time series analysis. Arch. Iran. Med. 2020; 23(11):776-81. doi: 10.34172/aim.2020.103.
3. Oksanen A, Kaakinen M, Latikka R, Savolainen I, Savela N, Koivula A. Regulation and Trust: 3-Month Follow-up Study on COVID-19 Mortality in 25 European Countries. JMIR. Public. Health. Surveill. 2020;6(2):e19218. doi: 10.2196/19218.
4. Bertsimas D, Lukin G, Mingardi L, Nohadani O, Orfanoudaki A, Stellato B, et al. COVID-19 Mortality Risk Assessment: An International Multi-Center Study. medRxiv. 2020;15(12):253-72. doi: 10.1371/journal.pone.0243262.
5. Sepandi M, Taghdir M, Alimohamadi Y, Afrashteh S, Hosamirudsari H. Factors Associated with Mortality in COVID-19 Patients: A Systematic Review and Meta-Analysis. Iran. J. Public Health. 2020;49(7):1211-21. doi: 10.18502/ijph.v49i7.3574.
6. Nandy K, Salunke A, Pathak SK, Pandey A, Doctor C, Puj K, et al. Coronavirus disease (COVID-19): A systematic review and meta-analysis to evaluate the impact of various comorbidities on serious events. Diabetes Metab. Syndr.: Clin. Res. Rev. 2020;14(5):1017-25. doi: 10.1016/j.dsx.2020.06.064.
7. Wang B, Li R, Lu Z, Huang Y. Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis. Aging (albany NY). 2020;12(7):6049-57. doi: 10.18632/aging.103000.
8. 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):1234-40. doi: 10.1016/j.jclinepi.2008.01.006.
9. Sepandi M, Taghdir M, Alimohamadi Y, Afrashteh S, Hosamirudsari H. Factors associated with mortality in COVID-19 patients: a systematic review and meta-analysis. Iran. J. Public Health. 2020;49(7):1211-21. doi: 10.18502/ijph.v49i7.3574.
10. Radovanovic D, Seifert B, Urban P, Eberli FR, Rickli H, Bertel O, et al. Validity of Charlson Comorbidity Index in patients hospitalised with acute coronary syndrome. Insights from the nationwide AMIS Plus registry 2002–2012. Heart. 2014;100(4):288-94. doi: 10.1136/heartjnl-2013-304588.
11. Murray SB, Bates DW, Ngo L, Ufberg JW, Shapiro NI. Charlson Index is associated with one‐year mortality in emergency department patients with suspected infection. Acad. Emerg. Med. 2006;13(5):530-6. doi: 10.1197/j.aem.2005.11.084.
12. Laor A, Tal S, Guller V, Zbar AP, Mavor E. The Charlson Comorbidity Index (CCI) as a mortality predictor after surgery in elderly patients. Am. Surg. 2016;82(1):22-7. doi: 10.1177/000313481608200113.
13. Fang X, Li S, Yu H, Wang P, Zhang Y, Chen Z, et al. Epidemiological, comorbidity factors with severity and prognosis of COVID-19: a systematic review and meta-analysis. Aging (albany NY). 2020;12(13):12493-503. doi: 10.18632/aging.103579.
14. Kumar A, Arora A, Sharma P, Anikhindi SA, Bansal N, Singla V, et al. Is diabetes mellitus associated with mortality and severity of COVID-19? A meta-analysis. Diabetes Metab. Syndr.: Clin. Res. Rev. 2020;14(4):535-45. doi: 10.1016/j.dsx.2020.04.044.
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Taheri Soodejani M, Kazemi M, Tabatabaei S M, Lotfi M H. The Charlson Comorbidity Index as a Predictor of mortality in hospitalized Covid-19 patients during the pandemic. Journal of Basic Research in Medical Sciences 2023; 10 (3) :72-77
URL: http://jbrms.medilam.ac.ir/article-1-714-en.html


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Volume 10, Issue 3 (6-2023) Back to browse issues page
مجله ی تحقیقات پایه در علوم پزشکی Journal of Basic Research in Medical Sciences
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