年龄校正查尔森合并症指数 Age-adjusted Charlson Comorbidity Index,ACCI以下项目计1分心肌梗死 Myocardial infarction充血性心衰 Congestive heart failure周围性血管病变 Peripheral vascular disease 脑血管疾病 Cerebral vascular disease 痴呆症 Dementia慢性阻塞性肺病 Chronic obstructive pulmonary disease结缔组织病 Connective tissue disease 消化性溃疡病 Ulcer disease 轻微的肝脏疾病 Mild liver disease 糖尿病 Diabetes以下项目计2分偏瘫 Hemiplegia中/重度肾病 Moderate/severe renal disease糖尿病伴器官损害 Diabetes with end - organ damage任何肿瘤 Any tumor白血病 Leukemia淋巴瘤 Lymphoma以下项目计3分中/重度肝病 Moderate/severe liver disease以下项目计6分转移性实体瘤 Metastatic solid tumor艾滋病 AIDS年龄超过 40 岁每 10 计 1 分 1 For each decade over age 40 y即<50:050~59:160~69:270~79:3综上项目累加结果即为年龄校正查尔森合并症指数。
参考文献:Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987; 40:373 —83.。