보건행정학회지 (Health Policy and Management)

  • 제19권4호
  • /
  • Pages.18-32
  • /
  • 2009
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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Charlson Comorbidity Index를 활용한 폐암수술환자의 건강결과 예측에 관한 연구

Health Outcome Prediction Using the Charlson Comorbidity Index In Lung Cancer Patients

  • 김세원 (서울의료원 의학연구소 정책연구실) ;
  • 윤석준 (고려대학교 보건대학원 . 고려대학교 의과대학 예방의학교실) ;
  • 경민호 (국립암센터) ;
  • 윤영호 (국립암센터) ;
  • 김영애 (국립암센터,고려대학교 보건대학원) ;
  • 김은정 (고려대학교 보건대학원 보건학협동과정) ;
  • 김경운 (꽃동네현도사회복지대학교 간호학과)
  • Kim, Se-Won (Research Institute, Seoul Medical Center) ;
  • Yoon, Seok-Jun (Graduate School of Public Health, Korea University . Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Kyung, Min-Ho (National Cancer Center) ;
  • Yun, Young-Ho (National Cancer Center) ;
  • Kim, Young-Ae (National Cancer Center,Graduate School of Public Health, Korea University) ;
  • Kim, Eun-Jung (Department of Public Health, Korea University) ;
  • Kim, Kyeong-Uoon (Department of Nursing, Khottongnae Hyundo University of Social Welfare)
  • 발행 : 2009.12.30
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초록

The goal of this study was to predict the health outcomes of lung cancer surgery based on the Charlson comorbidity index (CCI). An attempt was likewise made to assess the prognostic value of such data for predicting mortality, survival rate, and length of hospital stay. A medical-record review of 389 patients with non-small-cell lung cancer was performed. To evaluate the agreement, the kappa coefficient was tested. Logistic-regression analysis was also conducted within two years after the surgery to determine the association of CCI with death. Survival and multiple-regression analyses were used to evaluate the relationship between CCI and the hospital care outcomes within two-year survival after lung cancer surgery and the length of hospital stay. The results of the study showed that CCI is a valid prognostic indicator of two-year mortality and length of hospital stay, and that it shows the health outcomes, such as death, survival rate, and length of hospital stay, after the surgery, thus enabling the development and application of the methodology using a systematic and objective scale for the results.

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참고문헌

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