Charlson Comorbidity Index — JoyShine Medical

Charlson Comorbidity Index (CCI, Age-Adjusted)

Quantifies comorbid-disease burden and estimates 10-year survival in adults by summing weighted points for 19 chronic conditions plus an age adjustment, using the clinical (chart-review) definition that is not interchangeable with ICD-coded administrative variants.

Age (years)

Myocardial infarction (history of definite/probable)

Congestive heart failure

Peripheral vascular disease (incl. aortic aneurysm ≥ 6 cm, claudication, bypass/gangrene)

Cerebrovascular disease (CVA with no/minor residua, or TIA)

Dementia (chronic cognitive deficit)

Chronic pulmonary disease (COPD / chronic lung disease)

Connective tissue / rheumatologic disease (SLE, polymyositis, MCTD, PMR, mod-severe RA)

Peptic ulcer disease (any history of treated PUD)

Hemiplegia / paraplegia (+2)

Moderate to severe renal disease — Cr > 3 mg/dL, dialysis, transplant, uremia (+2)

Leukemia — CML, CLL, AML, ALL, PV (+2)

Lymphoma, incl. Waldenstrom, myeloma (+2)

AIDS — definite AIDS, not asymptomatic HIV (+6)

Diabetes mellitus

Liver disease

Solid tumor / malignancy