Article Sidebar

Full article
Date Published: 30/04/2021
Online Published: 26/10/2021
Abstract Views: 240
Views Full article: 557
Issue
No. 2 (2021)
Section
Articles
How to Cite
Ngo, M. D., Nguyen, N. L., & Ngo, T. H. (2021). Influences of comorbidity and prognosis value of CCI index on outcomes of elderly patients. Journal of Disaster Medicine and Burn Injuries, 2, 18-23. https://jbdmp.vn/index.php/yhthvb/article/view/35

Influences of comorbidity and prognosis value of CCI index on outcomes of elderly patients

Ngo Minh Duc1,, Nguyen Nhu Lam1, Ngo Tuan Hung1
1 Le Huu Trac National Burn Hospital

Main Article Content

Abstract

This study investigated characteristics and influences of comorbidity and prognosis value of CCI score on outcomes of elderly patients admitted to the National Burn Hospital during the period 2015 - 2019.
The results indicated that comorbidity was seen in 26.79% of patients with the most common diseases of hypertension (35,27%), neurological system (32,30%), diabetes (22,33%) with a CCI score of 0.29 (0 - 9). Patients with comorbidity were significantly older with a higher rate of deep burn and full-thickness burn area (p < 0.01). Besides, remarkably longer hospitalization, number of surgical interventions, the higher mortality rate (OR = 1.77) were recorded in patients with comorbidity (p < 0.05). Multivariate logistic analysis revealed that CCI score was an independent risk factor affecting mortality rate among elderly burn patients (OR = 1.54) along with burn extent and inhalation injury.

Article Details

Keywords

Burn, elderly, comorbidity, CCI score

References

1. Institute for Health Metrics and Evaluation (IHME). Findings from the Global Burden of Disease Study 2017. Seattle, WA: IHME, 2018.
2. 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; 40:373-383.
3. Thombs BD, Singh VA, Halonen J, Diallo A, Miner SM. The effects of preexisting medical comorbidities on mortality and length of hospital stay in acute burn injury: evidence from a national sample of 31,338 adult patients. Ann Surg 2007; 245(4):629-634.
4. Akhtar MS, Ahmad I, Khan AH, Khurram FM, Haq A, Basari R. Burn injury associated with comorbidities: Impact on the outcome. Indian Journal of Burns 2014; 22(1): 51 - 55.
5. Halgas B, Bay C, Foster K. A comparison of injury scoring systems in predicting burn mortality. Ann Burns Fire Disasters, 30;31(2):89-93, 2018
6. Knowlin L, Stanford L, Moore D, Cairns B, Charles A. The measured effect magnitude of co-morbidities on burn injury mortality. Burns 2016; 42(7): 1433-1438.
7. Lundgren RS, Kramer CB, Rivara FP, et al. Influence of comorbidities and age on outcome following burn injury in older adults. J Burn Care Res 2009; 30(2):307-314.