Albertsen et al reported the Danish Comorbidity Indices for Acute Myocardial Infarction (DANCAMI). One model includes both cardiovascular and non-cardiovascular conditions. The authors are from Aarhus University Hospital, University of Auckland, and Regional Hospital of West Jutland.
Patient selection: target acute myocardial infarction, but used in others
Parameters:
(1) cancer
(2) coagulopathy
(3) dementia
(4) alcohol and drug abuse
(5) schizophrenia
(6) affective disorder
(7) epilepsy
(8) neurodegenerative disorder
(9) hemiplegia
(10) chronic pulmonary disease
(11) ulcer disease (peptic)
(12) liver disease
(13) chronic pancreatitis
(14) heart failure
(15) intermittent arterial claudication (indicative of peripheral vascular disease)
(16) aortic disease
(17) valvular heart disease
(18) stroke
(19) hypertension
(20) diabetes
(21) chronic kidney disease
|
Parameter |
Finding |
Points |
|
cancer |
none |
0 |
|
|
low-risk |
2 |
|
|
high-risk |
10 |
|
coagulopathy |
no |
0 |
|
|
yes |
1 |
|
dementia |
no |
0 |
|
|
yes |
3 |
|
alcohol and drug abuse |
no |
0 |
|
|
yes |
3 |
|
schizophrenia |
no |
0 |
|
|
yes |
5 |
|
affective disorder |
no |
0 |
|
|
yes |
3 |
|
epilepsy |
no |
0 |
|
|
yes |
3 |
|
neurodegenerative disorder |
no |
0 |
|
|
yes |
3 |
|
hemiplegia |
no |
0 |
|
|
yes |
6 |
|
chronic pulmonary disease |
no |
0 |
|
|
yes |
2 |
|
ulcer disease |
no |
0 |
|
|
yes |
2 |
|
liver disease |
no |
0 |
|
|
mild |
3 |
|
|
moderate or severe |
7 |
|
chronic pancreatitis |
no |
0 |
|
|
yes |
5 |
|
heart failure |
no |
0 |
|
|
yes |
3 |
|
intermittent arterial claudication |
no |
0 |
|
|
yes |
2 |
|
aortic disease |
no |
0 |
|
|
yes |
2 |
|
valvular heart disease |
no |
0 |
|
|
yes |
2 |
|
stroke |
no |
0 |
|
|
yes |
3 |
|
hypertension |
no |
0 |
|
|
yes |
1 |
|
diabetes |
no |
0 |
|
|
uncomplicated |
2 |
|
|
with end-organ damage |
3 |
|
chronic kidney disease |
no |
0 |
|
|
yes |
4 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 73
|
rDANCAMI |
Comorbidity |
|
0 |
none |
|
1 to 3 |
low |
|
4 to 5 |
moderate |
|
>= 6 |
severe |
