Navigation Links
New tool to predict early death or hospital readmission
Date:3/1/2010

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.

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.

Key factors associated with these events were length of stay ("L"), acuity of admission ("A"), patient comorbidity ("C") and number of visits to the emergency room ("E"). Called the LACE index for easy recall, the index has a potential score of 0 to 19. While easy to use, the system will be difficult to memorize and will need a computational aid.

"We believe that the LACE index can be used by clinicians, researchers and administrators to predict the risk of early death or unplanned readmission of cognitively intact medical or surgical patients after discharge from the hospital to the community," they conclude. Further research is needed to determine if identifying the risk of poor death or readmissions changes patient care or outcomes.


'/>"/>

Contact: Kim Barnhardt
kim.barnhardt@cmaj.ca
613-520-7116 x2224
Canadian Medical Association Journal
Source:Eurekalert

Related medicine news :

1. Predicted Red Tide Could Make Shellfish a Dangerous Dish
2. Fatigue May Predict Heart Attack in Dialysis Patients
3. Researchers receive NIH grant to study predictors and outcomes of autoimmune lung disease
4. SIBLING proteins may predict oral cancer
5. Early life stress may predict cardiovascular disease
6. Hypertension may predict dementia in older adults with certain cognitive deficits
7. High Blood Pressure May Predict Dementia in Some Seniors
8. Handgrip Strength Helps Predict Death Risk in Elderly
9. Ultrasound measurement of fetal adrenal gland a better predictor of preterm birth
10. Springer publishes new journal in predictive, preventive and personalized medicine
11. Protein Levels in Urine Help Predict Kidney Function
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/24/2017)... (PRWEB) , ... February 24, 2017 , ... The narrative ... offers Erik Schanssema ’s true account of his paramedic experiences. Schanssema describes the ... disorder and his attempts to overcome them. , Schanssema, initially unsure of the ...
(Date:2/24/2017)... ... February 24, 2017 , ... The California State ... convening academic faculty engaged in or interested in palliative care education and research. The ... be held in North County San Diego on Sept. 28 and 29, 2017, on ...
(Date:2/24/2017)... , ... February 24, 2017 , ... The International Association ... annual “Imagine Me Beyond What You See” body image mannequin art competition. Selected from ... be showcased and the winner revealed at the 31st annual iaedp Symposium, March 22 ...
(Date:2/24/2017)... ... ... The Radiology Business Management Association will select the 2017 Quest ... Better Radiology Marketing Programs conference, held this year from March 5 to 7 ... given out in five categories. They are:, ,     Patient Marketing, a ...
(Date:2/24/2017)... (PRWEB) , ... February 24, 2017 , ... ... qualifying into the Senior International Elite division on February 12th. Ms. Esparza ... divisions at the elite qualifier competition held in Las Vegas, Nevada. Frida is ...
Breaking Medicine News(10 mins):
(Date:2/24/2017)... 24, 2017 Zimmer Biomet Holdings, Inc. (NYSE ... will present at the Cowen and Company 37 th ... Copley Place on Tuesday, March 7, 2017 at 11:20 ... of the presentation can be accessed at http://wsw.com/webcast/cowen38/zbh ... the conference via Zimmer Biomet,s Investor Relations website at ...
(Date:2/24/2017)... Research and Markets has announced the addition of the "Hemophilia Drugs ... ... Price Analysis and Strategies - 2016, provides drug pricing data and benchmarks ... What are the key drugs marketed for ... Hemophilia market? What are the unit prices and annual ...
(Date:2/24/2017)... HARRISBURG, Pa. , Feb. 24, 2017 ... Secretary of Drug and Alcohol Programs Jennifer Smith ... role in providing training for and using naloxone, a ... Mark McCullough , a recovery specialist and overdose ... naloxone by EMS providers. "A significant part ...
Breaking Medicine Technology: