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. 2019 Mar 18;191(11):E299–E307. doi: 10.1503/cmaj.181186

Table 5:

Category-based net reclassification improvement of the cardiac-specific comorbidity index compared with the recalibrated Charlson–Deyo and Elixhauser comorbidity indexes for predicting all-cause death

Probability category*
Charlson–Deyo comorbidity index Cardiac-specific comorbidity index
No. of patients at low risk No. of patients at high risk Total no. of patients
Death No. of patients at low risk < 5 < 5 8
No. of patients at high risk 13 109 122
Total no. of patients 15 115 130
No death No. of patients at low risk 5170 199 5369
No. of patients at high risk 3637 1001 4638
Total no. of patients 8807 1200 10 007
Net reclassification improvement (CSCI versus CDCI)
Event (6–13)/130 = −0.054
Nonevent (3637–199)/10 007 = 0.344
Overall −0.054 + 0.344 = 0.290
Probability category*
Elixhauser comorbidity index Cardiac-specific comorbidity index
No. of patients at low risk No. of patients at high risk Total no. of patients
Death No. of patients at low risk < 5 21 25
No. of patients at high risk 11 94 105
Total no. of patients 15 115 130
No death No. of patients at low risk 7243 415 7658
No. of patients at high risk 1564 785 2349
Total no. of patients 8807 1200 10 007
Net reclassification improvement (CSCI versus ECI)
Event (21–11)/130 = 0.077
Nonevent (1564–415)/10 007 = 0.115
Overall 0.077 + 0.115 = 0.192

Note: CDCI = Charlson–Deyo comorbidity index, CSCI = cardiac-specific comorbidity index, ECI = Elixhauser comorbidity index.

*

We used a cut-off of 0.01 to categorize a patient as being at low versus high risk based on the patient’s predicted probability of death.