Bernard et al used a comorbidity score to evaluate patients undergoing lung resection. This was based on the method used by Romano et al using weighted comorbidity profile components. The authors are from University Hospital Dijon, France.
Patient selection: lung resection for benign or malignant lesions
|
Parameter |
Finding |
Points |
|
coronary artery disease |
absent |
0 |
|
|
present |
1 |
|
congestive heart failure |
absent |
0 |
|
|
present |
3 |
|
peripheral vascular disease |
absent |
0 |
|
|
present |
2 |
|
cerebrovascular disease |
absent |
0 |
|
|
present |
1 |
|
chronic renal failure |
absent |
0 |
|
|
present |
2 |
|
diabetes mellitus |
absent |
0 |
|
|
present |
2 |
|
severe liver disease |
absent |
0 |
|
|
present |
3 |
|
chronic obstructive pulmonary disease (COPD) |
absent |
0 |
|
|
present |
2 |
|
malignancy |
absent |
0 |
|
|
present |
2 |
total comorbidity score =
= SUM(points for each disease present)
Interpretetation:
• minimum score: 0
• maximum score: 18
• A score >= 4 was considered potentially significant.
Purpose: To evaluate a patient prior to lung resection using the comorbidity score of Bernard et al.
Objective: comorbid conditions
ICD-10: C34, J63, J84,
