Combining Charlson and Elixhauser scores with varying lookback predicated mortality better than using individual scores
نویسندگان
چکیده
Objective To investigate variation in the presence of secondary diagnosis codes Charlson and Elixhauser comorbidity scores assess whether including a 1-year lookback period improved prognostic adjustment by these individually, combined, for 30-day mortality. Study Design Setting We analyzed inpatient admissions from January 1, 2007 to May 18, 2018 Oxfordshire, UK. Comorbidity were calculated using diagnostic diagnostic-dominant episode, primary year before. Associations between mortality investigated Cox models with natural cubic splines nonlinearity, assessing fit Akaike Information Criteria. Results The model vs. methods. Including both, allowing further. diagnosis-dominant score lookback, their interaction, provided best (reduction AIC: 761 single model). Conclusion current episode individual predictive ability. Ideally, comorbidities should be adjusted both (diagnostic-dominant) (1-year lookback) scores, incorporating nonlinearity interactions optimal confounding control.
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ژورنال
عنوان ژورنال: Journal of Clinical Epidemiology
سال: 2021
ISSN: ['1878-5921', '0895-4356']
DOI: https://doi.org/10.1016/j.jclinepi.2020.09.020