Assessment of the charlson comorbidity index score, CHADS2 and CHA2DS2-VASc scores in predicting death in patients with thoracic empyema

Jengyuan Wu; Chienming Liu; Shangsen Lee; Yuhung Kuo; Tengfu Hsieh

doi:10.1016/j.hrtlng.2017.12.003

Assessment of the charlson comorbidity index score, CHADS2 and CHA2DS2-VASc scores in predicting death in patients with thoracic empyema

Heart Lung. 2018 Mar-Apr;47(2):157-161. doi: 10.1016/j.hrtlng.2017.12.003. Epub 2018 Jan 19.

Authors

Jengyuan Wu¹, Chienming Liu², Shangsen Lee¹, Yuhung Kuo³, Tengfu Hsieh⁴

Affiliations

¹ Department of Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan; Department of Research, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan; School of Medicine, Tzu Chi University, Hualian, Taiwan.
² School of Medicine, Tzu Chi University, Hualian, Taiwan; Department of Chest Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.
³ Department of Research, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.
⁴ Department of Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan; Department of Research, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan; School of Medicine, Tzu Chi University, Hualian, Taiwan. Electronic address: hdf95@yahoo.com.tw.

PMID: 29370933
DOI: 10.1016/j.hrtlng.2017.12.003

Abstract

Background: Patients with thoracic empyema have an increased risk of mortality, but their absolute rate of mortality depends on age and comorbidities.

Objective: This study seeks to assess the predictive value of the Charlson Comorbidity Index score (CCIS), CHADS2 and CHA2DS2-VASc scores for mortality risk in patients with empyema thoracis.

Methods: From Taiwan's National Health Insurance Research Database we identified a total of 484 participants diagnosed with thoracic empyema. The CCIS, CHADS2 and CHA2DS2-VASc scores were used to stratify mortality risk.

Results: The incidence rate of mortality in the present study was 20.39 per 1000 person-months. A strong correlation was found between thoracic empyema and CCIS score.

Conclusions: Our results show that patients with thoracic empyema have a significantly high incidence rate of mortality and that CCIS can be used as an indicator of risk for mortality.

Keywords: Charlson comorbidity index score; Death; Predict; Risk; Thoracic empyema.

MeSH terms

Age Factors
Aged
Atrial Fibrillation / epidemiology
Comorbidity
Empyema, Pleural / epidemiology
Empyema, Pleural / mortality*
Female
Humans
Male
Middle Aged
Retrospective Studies
Risk Assessment / methods*
Risk Factors
Taiwan / epidemiology