Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)

<h4>Background</h4> Charlson Comorbidity Index (CCI) is the common and valid method to predict mortality by classifying comorbidities such as cardiovascular, metabolic, renal, hepatic, pulmonary diseases, and malignancy. Novel risk factors are not included in the Charlson Comorbidity Ind...

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Main Authors: Betul Cavusoglu Turker, Fatih Turker, Suleyman Ahbab, Emre Hoca, Meryem Tahmaz, Hayriye Esra Ataoğlu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8920220/?tool=EBI
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author Betul Cavusoglu Turker
Fatih Turker
Suleyman Ahbab
Emre Hoca
Meryem Tahmaz
Hayriye Esra Ataoğlu
author_facet Betul Cavusoglu Turker
Fatih Turker
Suleyman Ahbab
Emre Hoca
Meryem Tahmaz
Hayriye Esra Ataoğlu
author_sort Betul Cavusoglu Turker
collection DOAJ
description <h4>Background</h4> Charlson Comorbidity Index (CCI) is the common and valid method to predict mortality by classifying comorbidities such as cardiovascular, metabolic, renal, hepatic, pulmonary diseases, and malignancy. Novel risk factors are not included in the Charlson Comorbidity Index, such as thyroid hormone index (FT3/FT4 ratio) and serum albumin levels. In the present study, we aimed to assess whether the thyroid hormone index and albumin are useful clinical parameters in short and long-term mortality. <h4>Methods</h4> In the retrospective cohort study with a 5 year follow up, the data of 1292 patients who were hospitalized between January 1st–June 30th of 2014 were examined. Three months mortality as short term and 5-year mortality as long term were evaluated. <h4>Results</h4> Three months and 5 years mortality rates for 1064 patients were analyzed. We showed that hypoalbuminemia and thyroid hormone index had statistically significant effects on short and long-term mortality. According to ROC analysis it was demonstrated that the scoring system including biochemical parameters such as thyroid hormone index and serum albumin level was more significant for 3-month mortality. In addition, both scoring systems are equal in demonstrating long-term mortality. <h4>Conclusion</h4> Thyroid hormone index and albumin could improve the prognostic performance of the original Charlson Comorbidity Index in short term mortality. The combined score may offer improvements in comorbidity summarization over existing scores.
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spelling doaj.art-2fc8be19a34b400b9554b1239cb0579d2022-12-22T00:04:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)Betul Cavusoglu TurkerFatih TurkerSuleyman AhbabEmre HocaMeryem TahmazHayriye Esra Ataoğlu<h4>Background</h4> Charlson Comorbidity Index (CCI) is the common and valid method to predict mortality by classifying comorbidities such as cardiovascular, metabolic, renal, hepatic, pulmonary diseases, and malignancy. Novel risk factors are not included in the Charlson Comorbidity Index, such as thyroid hormone index (FT3/FT4 ratio) and serum albumin levels. In the present study, we aimed to assess whether the thyroid hormone index and albumin are useful clinical parameters in short and long-term mortality. <h4>Methods</h4> In the retrospective cohort study with a 5 year follow up, the data of 1292 patients who were hospitalized between January 1st–June 30th of 2014 were examined. Three months mortality as short term and 5-year mortality as long term were evaluated. <h4>Results</h4> Three months and 5 years mortality rates for 1064 patients were analyzed. We showed that hypoalbuminemia and thyroid hormone index had statistically significant effects on short and long-term mortality. According to ROC analysis it was demonstrated that the scoring system including biochemical parameters such as thyroid hormone index and serum albumin level was more significant for 3-month mortality. In addition, both scoring systems are equal in demonstrating long-term mortality. <h4>Conclusion</h4> Thyroid hormone index and albumin could improve the prognostic performance of the original Charlson Comorbidity Index in short term mortality. The combined score may offer improvements in comorbidity summarization over existing scores.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8920220/?tool=EBI
spellingShingle Betul Cavusoglu Turker
Fatih Turker
Suleyman Ahbab
Emre Hoca
Meryem Tahmaz
Hayriye Esra Ataoğlu
Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)
PLoS ONE
title Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)
title_full Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)
title_fullStr Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)
title_full_unstemmed Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)
title_short Serum albumin and FT3/FT4 ratio as additional co-morbidity parameters to predict mortality as a new approach: The Haseki Scoring Index (updated Charlson Comorbidity Index)
title_sort serum albumin and ft3 ft4 ratio as additional co morbidity parameters to predict mortality as a new approach the haseki scoring index updated charlson comorbidity index
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8920220/?tool=EBI
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