Charlson Comorbidity Index Calculator
Table of contents
What is Charlson Index?How to calculate Charlson Comorbidity IndexCharlson Comorbidity Index scoreCharlson Comorbidity Index calculator  a practical exampleThe Charlson Comorbidity Index calculator estimates survival in patients with multiple comorbidities. It consists of 17 items that are related to various health conditions that are associated with mortality. The Charlson index is used for estimating short and longterm outcomes, including function, length of hospitalization, and mortality rates. Check the article below to find out how to calculate the Charlson Comorbidity Index score.
We try our best to make our Omni Calculators as precise and reliable as possible. However, this tool can never replace a professional doctor's assessment. All information on this website is for informational purposes only and is not intended to serve as a substitute for medical consultation. Always consult your results with a health care provider.
What is Charlson Index?
The Charlson Comorbidity Index was developed in 1987 by
as a way to classify comorbid conditions which may influence mortality risk. This tool was originally supposed to be used in longitudinal studies. The initial Charlson Index was created using 19 categories but has been modified since to contain or items. Nowadays, the CCI is one of the used scoring systems for comorbidities used in research and clinical settings.How to calculate Charlson Comorbidity Index
The Charlson Comorbidity Index calculator consists of 17 items. Each item can be scored from 0 to 6 points, and each has a different weight (which is based on the strength of the item's association with 1year mortality, as presented in the paper by Charles et al.). This is why some variables can score only 1 point at most (e.g. history of the myocardial infarction), while others can score as many as 6 points (e.g. metastatic tumor).
The table below shows how many points each item scores.
Comorbidity  Score 

Myocardial infarction  + 1 
Congestive heart failure  + 1 
Peripheral vascular disease  + 1 
Cerebrovascular disease  + 1 
Dementia  + 1 
Chronic pulmonary disease  + 1 
Rheumatologic disease  + 1 
Peptic ulcer disease  + 1 
Liver disease  + 1 if mild, + 3 if moderate/severe 
Diabetes  + 1 if controlled, + 2 if uncontrolled 
Hemiplegia or paraplegia  + 2 
Renal disease  + 2 
Malignancy  + 2 if localized, + 6 if metastatic tumor 
Leukemia  + 2 
Lymphoma  + 2 
AIDS  + 6 
If you don't have those comorbidities yet, you can use any of the calculators below to estimate the risk of getting such disease:
 Diabetes risk calculator;
 CVD risk calculator for cardiovascular diseases;
 MELD calculator to assess the function of a liver;
 GFR calculator to assess the renal function.
Additional information:
 If the comorbidity is not present, patients score 0 points for that comorbidity.
 Patients who are 50 years old or more should get additional points as follows:
 5059 years old  additional 1 point;
 6069 years old  additional 2 points;
 7079 years old  additional 3 points; and
 80 years old or more  additional 4 points.
Charlson Comorbidity Index score
The maximum Charlson Comorbidity Index score (adjusted for age) is 37 points.
After scoring each comorbidity, the patient's 10year survival rate can be calculated. It is estimated using a theoretical lowrisk population whose 10year survival is 98.3%. The formula is:
10y survival = 0.983^(e^{CCI*0.9})
where:

e
 Euler's number, the mathematical constant that is equal to approx. 2.71828; and 
CCI
 the Charlson Comorbidity Index score adjusted for age.
Charlson Comorbidity Index calculator  a practical example
Let's use a practical example to show you how to calculate Charlson Comorbidity Index.
 Characteristics of our exemplary patient:
 Age: 57 years old;
 Comorbidities: diabetes controlled with medication, myocardial infarction (heart attack) 5 years ago; and
 Patient does not report any other health conditions.
 Charlson Comorbidity Index score of our patient equals 3:
 +1 point for the age between 50 and 59;
 +1 point for controlled diabetes; and
 +1 point for the history of myocardial infarction.

Finally, we can calculate 10year survival for this patient as follows:
10y survival = 0.983^(e^{CCI*0.9})
10y survival = 0.983^(2.71828^{3*0.9})
10y survival = 0.983^(2.71828^{2.7})
10y survival = 0.983^{14.88}
10y survival = 0.7748 = 77.48%