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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Comparison of Charlson comorbidity index (CCI) and hematopoietic cell transplantation-specific comorbidity index (HCT-CI) scoring systems

Comparison of Charlson comorbidity index (CCI) and hematopoietic cell transplantation-specific comorbidity index (HCT-CI) scoring systems
Comorbidity Charlson comorbidity index (CCI) definition CCI score Hematopoietic cell transplantation-specific comorbidity index (HCT-CI) definition HCT-CI score
Pulmonary disease
Mild Dyspnea on moderate activity (or with asthma attacks) 1 Dyspnea on moderate activity or DLCO and/or FEV1 81 to 90% 0
Moderate Dyspnea on slight activity 1 Dyspnea on slight activity or DLCO and/or FEV1 66 to 80% 2
Severe Dyspnea at rest or requires oxygen 1 Dyspnea at rest or requires oxygen or DLCO and/or FEV1 ≤65% 3
Cardiac disease
General Congestive heart failure (symptomatic and requiring treatment) and myocardial infarction were included as independent comorbidities, each acquiring a score of 1 1 or 2 Coronary artery disease*, congestive heart failure, myocardial infarction, or EF ≤50% 1
Arrhythmia N/A 0 Atrial fibrillation or flutter, sick sinus syndrome, or ventricular arrhythmias 1
Heart valve disease Except mitral valve prolapse 0 Except mitral valve prolapse 3
Hepatic disease
Mild Chronic hepatitis or cirrhosis 1 Chronic hepatitis, bilirubin >ULN to 1.5 × ULN, or AST/ALT >ULN to 2.5 × ULN 1
Moderate to severe Cirrhosis with portal hypertension ± bleeding varices 3 Cirrhosis or fibrosis or bilirubin >1.5 × ULN or AST/ALT >2.5 × ULN 3
Renal disease
Mild Serum creatinine 2 to 3 mg/dL 0 Creatinine 1.2 to 2 mg/dL 0
Moderate to severe Creatinine >3 mg/dL, renal dialysis, or renal transplant 2 Creatinine >2 mg/dL, renal dialysis, or renal transplant 2
Other malignancies
Prior solid tumor Initially treated in the last 5 years 2 Treated at any time point in the patient's history, excluding nonmelanoma skin cancer 3
Metastatic cancer Present 6 Not included N/A
Other comorbidities
Diabetes Requiring treatment with insulin or oral hypoglycemics but not diet alone 1 Requiring treatment with insulin or oral hypoglycemics but not diet alone 1
Cerebrovascular disease Transient ischemic attack or cerebrovascular accident 1 Transient ischemic attack or cerebrovascular accident 1
Rheumatologic SLE, RA, polymyositis, mixed CTD, or polymyalgia rheumatica 1 SLE, RA, polymyositis, mixed CTD, or polymyalgia rheumatica 2
Peptic ulcer Requiring treatment 1 Requiring treatment 2
Psychiatric disturbance Not included N/A Depression or anxiety requiring psychiatric consult or treatment 1
Infection Not included N/A Requiring continuation of antimicrobial treatment after day 0 1
Inflammatory bowel disease Not included N/A Crohn disease or ulcerative colitis 1
Obesity Not included N/A Patients with a body mass index >35 kg/m2 1
To convert creatinine from milligrams per deciliter to micromoles per liter, multiply milligrams per deciliter by 88.4.

DLCO: diffusion capacity of carbon monoxide; FEV1: forced expiratory volume in one second; EF: ejection fraction; ULN: upper limit of normal; AST: aspartate aminotransferase; ALT: alanine aminotransferase; SLE: systemic lupus erythematosus; RA: rheumatoid arthritis; CTD: connective tissue disease.

* One or more vessel-coronary artery stenosis requiring medical treatment, stent, or bypass graft.
Data from: Sorror ML, Maris MB, Storb R, et al. Hematopoietic cell transplantation (HCT)-specific comorbidity index: a new tool for risk assessment before allogeneic HCT. Blood 2005; 106:2912.
Graphic 59272 Version 13.0

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