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New Way to Predict Early Death or Readmission to Hospital

by Savitha on March 03, 2010 at 10:16 AM Hospital News

A new tool can help physicians predict the likelihood of death or readmission to hospital for patients within 30 days of discharge from hospital, according to a new study in CMAJ (Canadian Medical Association Journal) (pre-embargo link only) http://www.cmaj.ca/embargo/cmaj091117.pdf.

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The tool, called the LACE index, was developed by researchers at the Ottawa Hospital Research Institute, Institute for Clinical Evaluation Sciences, University of Toronto, University of Ottawa and University of Calgary. It was developed to help quantify the risk of early death or unplanned readmission after discharge from hospital to the community and can be useful in focusing post-discharge support on patients at highest risk of poor outcomes.

"We have derived and validated an easy-to-use index that is moderately discriminative and very accurate for predicting the risk of early death or unplanned readmission after discharge from hospital to the community," write Dr. Carl Van Walraven, Ottawa Hospital Research Institute and coauthors.

The study followed 4812 patients admitted to 11 Ontario hospitals between October 2002 and July 2006. The participants were middle-aged, almost 95% were independent in daily living routines and most were free of comorbidities. None of the participants were residents of nursing homes. The most common reasons for hospitalization were acute coronary syndromes, cancer diagnoses and complications and heart failure.

During the first 30 days after discharge from hospital, 8% (385) patients died or were urgently readmitted. Of this number, 9.4% (36) died and 90.4% (349) had unplanned readmissions.

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New Way to Predict Early Death or Readmission to Hospital

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