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Do the LACE and modified LACE (mLACE) indices predict 30-day readmission in patients at a resource-constrained tertiary hospital?
Do the LACE and modified LACE (mLACE) indices predict 30-day readmission in patients at a resource-constrained tertiary hospital?
In a resource-constrained South African hospital, the 30-day readmission rate was 10.5%, and the LACE and mLACE indices effectively predicted readmission risk.
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LACE and mLACE may aid readmission risk stratification in resource-constrained hospitals; supports validation in similar cohorts but should not yet change practice.
Despite TBH being a low-resource, high-turnover system, the 30-day readmission rate was calculated at 10.5%. Global readmission rates vary from 10% to 25%, depending on the reference article/source used. We found that 35% of 30-day readmissions were potentially avoidable. Venous thromboembolism was a minor contributor to readmission but was associated with a very high mortality rate. A secondary outcome evaluated was the utility of the LACE and modified LACE (mLACE) index in the TBH environment. The risk tool performed well in the TBH population, and a high LACE and mLACE score correlated with an increased risk of 30-day readmission (p<0.001).
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Dreyer et al. (2019) studied this question.
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