News & Events 

 

3/18/2015: Congratulations to Drs. Abraham Jaffe, PGY-3 and Heena Santry from the Division of Trauma and Critical Care on being awarded the 2015 Office of Global Health Pilot Project Grant supporting their project to improve trauma care in rural Gujarat State, India in collaboration with the Charotar Arogya Mandal Comprehensive Medical Complex. Their project will include injury surveillance, establishment of a trauma quality improvement registry, and education in trauma triage and stabilization.


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Perioperative Mortality for Management of Hepatic Neoplasm: A Simple Risk Score

Jessica P. Simons, MD, Joshua S. Hill, MD, Sing Chau Ng, MS, Shimul A. Shah, MD,  Zheng Zhou, MD, PhD, Giles F. Whalen, MD, Jennifer F. Tseng, MD, MPH

Article published in Annals of Surgery, December 2009, Volume 250, Number 6, pp. 929-934

Step 1. Calculate Charlson comorbidity score
Indicate "yes" for the comorbidities that the patient has. This validated algorithm (Charlson, ME et al. J Chron Dis 1987; 40(5):373-83.) assigns a point value to the various diseases. The patient's raw score will then be reassigned into the collapsed Charlson score groups for use in the risk score calculation. Group 1 is a score of zero, Group 2 is a score of 1, Group 3 is a score of 2, and Group 4 is a score of 3 or higher.  

Comorbidity

Points

AIDS   
Cerebrovascular Disease   
Chronic Pulmonary Disease   
Congestive Heart Failure   
Connective Tissue/Rheumatic Disease   
Dementia   
Diabetes Without End Organ Damage   
Diabetes With End Organ Damage   
Hemiplegia   
Liver Disease Mild to Moderate   
Liver Disease Severe   
Myocardial Infarction   
Peripheral Vascular Disease   
Renal Disease   
Ulcer Disease   
 
Charlson Group Score

 

Step 2. Calculate the risk score, including the Charlson group. 
Patient age, Charlson score group, planned procedure type, gender, the teaching status of the hospital, and the neoplasm type (primary or metastatic tumor) are indicated.  The point values are assigned accordingly to yield an additive score.  By clicking on the "Calculate Estimated Mortality" button, this score is then assigned to the appropriate risk score group, and the mortality for that group is displayed.

Factor

Level

Point Value

Age Group     
Charlson Score Group
Procedure Type     
Gender     
Hospital Type     
Neoplasm     
 
 

 FinalVer