• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

HOSPITAL score predicts risk of 30-day potentially avoidable readmission to hospital

byJames EnglandandAnees Daud
March 9, 2016
in Chronic Disease, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. The HOSPITAL score uses seven readily available clinical factors to estimate risk of 30-day potentially avoidable hospital readmission in this international study of medical inpatients.

2. The external validity of the test showed good performance and calibration for further generalizability, and this tool could be used to more judiciously appropriate resources towards the higher risk population to reduce readmission rates.

Evidence Rating Level: 2 (Good)

Study Rundown: Preventing hospital readmissions has become a key focus for quality improvement in health care and reducing associated health care costs. Interventions to reduce risk of readmission have been shown to be effective but are labor and resource intensive. Identifying patients at highest risk for preventable readmission could help guide directed interventions.

The described study sought to externally validate a previously developed clinical prediction tool in an international population of medical inpatients from 9 hospitals in 4 countries. The HOSPITAL score consisted of readily obtained clinical factors: Hemoglobin, discharge from an Oncology service, Sodium level, Procedure performed, Index Type of admission (urgent vs. elective), number of Admissions in the last year, and Length of stay. The HOSPITAL score was able to discriminate risk of potentially avoidable readmission based on three risk categories (low, intermediate, and high). The actual 30-day readmission rates were similar to the predicted rates. While the prediction tool did identify patients at high risk for readmissions, it did not identified modifiable risk factors that could be specifically altered to change readmissions. Rather, the tool could be used to more judiciously appropriate resources towards the higher risk population to reduce readmission rates.

Click to read the study, published today in JAMA Internal Medicine

RELATED REPORTS

Higher hospitalist continuity of care linked to improved clinical outcomes

#VisualAbstract: Safety-Net Hospitals, Neighborhood Disadvantage, and Readmissions Under Maryland’s All-Payer Program

Residents of disadvantaged neighborhoods who are discharged from safety-net hospitals have high hospital readmission risk

Relevant Reading: Predicting 30-day all-cause hospital readmissions

In-Depth [retrospective cohort]: The described study examined 117 065 medical inpatients admitted for greater than 1 day between January 1 and December 31, 2011 at 9 hospitals in 4 countries. There were 16 992 readmissions within 30 days with 11 307 (9.7%) deemed to be potentially avoidable. HOSPITAL scores were calculated for all patients who were then grouped into low, intermediate, and high-risk categories. The C-score for discriminatory power in risk prediction for the HOSPITAL tool was 0.72 (95%CI 0.72-0.72). The calibration of the HOSPITAL score was also excellent (Pearson chi-squared p-value of 0.89), with the predicted risks similar to actual readmission rates: 5% predicted vs 5.8% actual for low risk, 10% vs. 11.9% for intermediate risk, and 20% vs. 22.8% for high risk.

Image: PD

©2016 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: readmissionreadmission rates
Previous Post

Increased risk of post-pregnancy cardiomyopathy in women with hypertensive disorders of pregnancy

Next Post

Predicting persistent postconcussion symptoms with a clinical risk score

RelatedReports

Rapid growth of medical artificial intelligence technology usage identified from insurance claims analysis, yet major barriers to widespread adoption remain
Public Health

Higher hospitalist continuity of care linked to improved clinical outcomes

December 19, 2019
#VisualAbstract: Safety-Net Hospitals, Neighborhood Disadvantage, and Readmissions Under Maryland’s All-Payer Program
StudyGraphics

#VisualAbstract: Safety-Net Hospitals, Neighborhood Disadvantage, and Readmissions Under Maryland’s All-Payer Program

August 23, 2019
Quick Take: Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial
Public Health

Residents of disadvantaged neighborhoods who are discharged from safety-net hospitals have high hospital readmission risk

July 14, 2019
HOSPITAL score predicts risk of 30-day potentially avoidable readmission to hospital
Chronic Disease

Hospital readmissions occurring within 7 days post-discharge may be more preventable than later readmissions

May 2, 2018
Next Post
Predicting persistent postconcussion symptoms with a clinical risk score

Predicting persistent postconcussion symptoms with a clinical risk score

Unenhanced magnetic resonance imaging highly sensitive and specific for acute appendicitis

Appendicitis ruled out by clinical scoring in cases of equivocal ultrasound findings

Computed tomography improves diagnostic certainty in the emergency department

Patient and care transitions factors play role in preventable hospital readmissions

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • SGLT2 inhibitors may delay cognitive impairment in elderly patients with heart failure
  • Nerandomilast slows decline in FVC in idiopathic pulmonary fibrosis
  • Mazdutide significantly reduces weight in adults with overweight or obesity
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.