Whtney and Kamdar reported a new comorbidity index for evaluating adults with cerebral palsy. The authors are form the University of Michigan.
Patient selection: cerebral palsy
|
Condition
|
Adjusted HR (competing risks)
|
Points
|
|
hypertension (uncomplicated)
|
1.74
|
2
|
|
epilepsy
|
2.33
|
2
|
|
chronic pulmonary disease
|
1.25
|
1
|
|
depression
|
1.68
|
2
|
|
blood loss and deficiency anemias
|
1.85
|
2
|
|
gastrointestinal issues
|
1.75
|
2
|
|
osteoarthritis and allied disorders
|
0.76
|
1
|
|
intellectual disabilities
|
1.76
|
2
|
|
fluid and electrolyte disorders
|
2.79
|
3
|
|
bone fragility
|
1.91
|
2
|
|
cardiac arrhythmias
|
2.91
|
3
|
|
hypothyroidism
|
1.19
|
1
|
|
dysphagia
|
2.94
|
3
|
|
cerebrovascular accident
|
1.15
|
1
|
|
pneumonia
|
2.73
|
3
|
|
other neurological disorders
|
1.80
|
2
|
|
renal disease
|
1.80
|
2
|
|
congestive heart failure
|
2.12
|
2
|
|
neurogenic bowel or bladder
|
1.50
|
2
|
|
mild-to-severe liver disease
|
1.53
|
2
|
|
dementia
|
1.70
|
2
|
|
myocardial infarction
|
1.71
|
2
|
|
rheumatoid arthritis or other inflammatory polyarthritis
|
2.49
|
2
|
|
Condition
|
Adjusted HR (competing risks)
|
Points
|
|
diabetes without chronic complications
|
1.64
|
2
|
|
diabetes with chronic complications
|
3.08
|
3
|
|
any malignancy (excluding malignant neoplasm of skin)
|
1.58
|
2
|
|
metastatic cancer
|
|
6
|
total score =
= SUM(points for all of the conditions)
Interpretation:
• minimum score: 0
• maximum score: 55
• The higher the score the greater the comorbidity.
