TY - JOUR
T1 - A prospective cohort study of two predictor models for 30-day emergency readmission in older patients
AU - Armitage, Michael N.
AU - Srivastava, Vivek
AU - Allison, Benjamin K.
AU - Williams, Marcus V.
AU - Brandt-Sarif, Michelle
AU - Lee, Geraldine
N1 - Publisher Copyright:
© 2021 The Authors. International Journal of Clinical Practice published by John Wiley & Sons Ltd.
PY - 2021/9
Y1 - 2021/9
N2 - Aim: To undertake a prospective study of the accuracy of two models (LACE and BOOST) in predicting unplanned hospital readmission in older patients (>75 years). Methods: Data were collected from a single centre prospectively on 110 patients over 75 years old admitted to the acute medical unit. Follow-up was conducted at 30 days. The primary outcome was the c-statistic for both models. Results: The readmission rate was 32.7% and median age 82 years, and both BOOST and LACE scores were significantly higher in those readmitted compared with those who were not. C-statistics were calculated for both tools with BOOST score 0.667 (95% CI 0.559-0.775, P =.005) and LACE index 0.685 (95% CI 0.579-0.792, P =.002). Conclusion: In this prospective study, both the BOOST and LACE scores were found to be significant yet poor, predictive models of hospital readmission. Recent hospitalisation (within the previous 6 months) was found to be the most significant contributing factor.
AB - Aim: To undertake a prospective study of the accuracy of two models (LACE and BOOST) in predicting unplanned hospital readmission in older patients (>75 years). Methods: Data were collected from a single centre prospectively on 110 patients over 75 years old admitted to the acute medical unit. Follow-up was conducted at 30 days. The primary outcome was the c-statistic for both models. Results: The readmission rate was 32.7% and median age 82 years, and both BOOST and LACE scores were significantly higher in those readmitted compared with those who were not. C-statistics were calculated for both tools with BOOST score 0.667 (95% CI 0.559-0.775, P =.005) and LACE index 0.685 (95% CI 0.579-0.792, P =.002). Conclusion: In this prospective study, both the BOOST and LACE scores were found to be significant yet poor, predictive models of hospital readmission. Recent hospitalisation (within the previous 6 months) was found to be the most significant contributing factor.
UR - https://www.scopus.com/pages/publications/85108792849
U2 - 10.1111/ijcp.14478
DO - 10.1111/ijcp.14478
M3 - Article
C2 - 34107148
AN - SCOPUS:85108792849
SN - 1368-5031
VL - 75
JO - International Journal of Clinical Practice
JF - International Journal of Clinical Practice
IS - 9
M1 - e14478
ER -