Key result
The HOSPITAL score demonstrated good discrimination (c-statistic 0.68) and excellent calibration (P=0.77) for predicting potentially preventable 30-day readmissions in patients with HRRP conditions.
Why the study?
Does the HOSPITAL score accurately predict potentially preventable 30-day readmissions in adult patients discharged with acute myocardial infarction, COPD, pneumonia, or heart failure?
Cohort (n=9,181)
Yes
Does the HOSPITAL score accurately predict potentially preventable 30-day readmissions in adult patients discharged with acute myocardial infarction, COPD, pneumonia, or heart failure?
Effect estimate: c-statistic 0.68
p-value: p=0.77
The HOSPITAL score is a valid tool with good discrimination and excellent calibration for identifying patients at high risk of potentially preventable 30-day readmissions following discharge for key HRRP-targeted conditions including heart failure and acute myocardial infarction.
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HOSPITAL score may flag high-risk patients for preventable readmissions in HRRP conditions; leaves open whether score-guided interventions improve outcomes.
Burke et al. (2016) conducted a cohort in Acute myocardial infarction, chronic obstructive pulmonary disease, pneumonia, and heart failure (n=9,181). HOSPITAL score was evaluated on Potentially preventable 30-day readmissions (c-statistic 0.68, p=0.77). The HOSPITAL score demonstrated good discrimination (c-statistic 0.68) and excellent calibration (P=0.77) for predicting potentially preventable 30-day readmissions in patients with HRRP conditions.
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