Featured Research

from universities, journals, and other organizations

New tool to predict early death or hospital readmission

Date:
March 1, 2010
Source:
Canadian Medical Association Journal
Summary:
A new tool can help physicians predict the likelihood of death or readmission to hospital for patients within 30 days of discharge from hospital.

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).

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.


Story Source:

The above story is based on materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


Cite This Page:

Canadian Medical Association Journal. "New tool to predict early death or hospital readmission." ScienceDaily. ScienceDaily, 1 March 2010. <www.sciencedaily.com/releases/2010/03/100301122328.htm>.
Canadian Medical Association Journal. (2010, March 1). New tool to predict early death or hospital readmission. ScienceDaily. Retrieved September 3, 2014 from www.sciencedaily.com/releases/2010/03/100301122328.htm
Canadian Medical Association Journal. "New tool to predict early death or hospital readmission." ScienceDaily. www.sciencedaily.com/releases/2010/03/100301122328.htm (accessed September 3, 2014).

Share This



More Health & Medicine News

Wednesday, September 3, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Snack Attack: Study Says Action Movies Make You Snack More

Snack Attack: Study Says Action Movies Make You Snack More

Newsy (Sep. 2, 2014) You're more likely to gain weight while watching action flicks than you are watching other types of programming, says a new study published in JAMA. Video provided by Newsy
Powered by NewsLook.com
U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

Newsy (Sep. 2, 2014) The U.N. says the problem is two-fold — quarantine zones and travel restrictions are limiting the movement of both people and food. Video provided by Newsy
Powered by NewsLook.com
Doctors Fear They're Losing Battle Against Ebola

Doctors Fear They're Losing Battle Against Ebola

AP (Sep. 2, 2014) As a third American missionary is confirmed to have contracted Ebola in Liberia, doctors on the ground in West Africa fear they're losing the battle against the outbreak. (Sept. 2) Video provided by AP
Powered by NewsLook.com
Tech Giants Bet on 3D Headsets for Gaming, Healthcare

Tech Giants Bet on 3D Headsets for Gaming, Healthcare

AFP (Sep. 2, 2014) When Facebook acquired the virtual reality hardware developer Oculus VR in March for $2 billion, CEO Mark Zuckerberg hailed the firm's technology as "a new communication platform." Duration: 02:24 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins