Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)

Charlson Comorbidity Index (CCI) is the common and valid method to predict mortality by classifying comorbidities such as cardiovascular, metabolic, renal, hepatic, pulmonary diseases, and malignancy. Novel risk factors are not included in the Charlson Comorbidity Index, such as thyroid hormone inde...

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Veröffentlicht in:PloS one 2022-03, Vol.17 (3), p.e0264724
Hauptverfasser: Cavusoglu Turker, Betul, Turker, Fatih, Ahbab, Suleyman, Hoca, Emre, Tahmaz, Meryem, Ataoğlu, Hayriye Esra
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container_start_page e0264724
container_title PloS one
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creator Cavusoglu Turker, Betul
Turker, Fatih
Ahbab, Suleyman
Hoca, Emre
Tahmaz, Meryem
Ataoğlu, Hayriye Esra
description Charlson Comorbidity Index (CCI) is the common and valid method to predict mortality by classifying comorbidities such as cardiovascular, metabolic, renal, hepatic, pulmonary diseases, and malignancy. Novel risk factors are not included in the Charlson Comorbidity Index, such as thyroid hormone index (FT3/FT4 ratio) and serum albumin levels. In the present study, we aimed to assess whether the thyroid hormone index and albumin are useful clinical parameters in short and long-term mortality. In the retrospective cohort study with a 5 year follow up, the data of 1292 patients who were hospitalized between January 1st-June 30th of 2014 were examined. Three months mortality as short term and 5-year mortality as long term were evaluated. Three months and 5 years mortality rates for 1064 patients were analyzed. We showed that hypoalbuminemia and thyroid hormone index had statistically significant effects on short and long-term mortality. According to ROC analysis it was demonstrated that the scoring system including biochemical parameters such as thyroid hormone index and serum albumin level was more significant for 3-month mortality. In addition, both scoring systems are equal in demonstrating long-term mortality. Thyroid hormone index and albumin could improve the prognostic performance of the original Charlson Comorbidity Index in short term mortality. The combined score may offer improvements in comorbidity summarization over existing scores.
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subjects Albumin
Biology and Life Sciences
Care and treatment
Cerebrovascular disease
Chronic illnesses
Chronic obstructive pulmonary disease
Comorbidity
Connective tissue
Dementia
Diabetes
Diagnosis
Health aspects
Health risk assessment
Health sciences
Heart failure
Hospital patients
Hospitalization
Hospitals
Humans
Immune system
Internal medicine
Kidney diseases
Liver diseases
Lung diseases
Malignancy
Measurement
Medicine
Medicine and Health Sciences
Metabolism
Methods
Morbidity
Mortality
Parameters
Patients
Prognosis
Retrospective Studies
Risk analysis
Risk factors
Serum Albumin
Statistical analysis
Thyroid
Thyroid gland
Thyroid Hormones
Ulcers
title Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)
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