Jennings et al identified risk factors for 30-day readmission following laparoscopic hysterectomy. They developed the Laparoscopic Hysterectomy Readmission Score (LHRS) as an aid for evaluating patients undergoing the procedure. The authors are from the University of Wisconsin and the University of Michigan.
Patient selection: laparoscopic hysterectomy
Outcome: readmission within 30-days
Parameters:
(1) diabetes
(2) COPD
(3) disseminated cancer
(4) chronic use of corticosteroids
(5) bleeding disorder
(6) duration of surgery
(7) postoperative complication prior to discharge
Parameter
Finding
Points
diabetes mellitus
no
0
yes
1
COPD
no
0
yes
1
disseminated cancer
no
0
yes
1
chronic use of corticosteroids
no
0
yes
1
bleeding disorder
no
0
yes
1
duration of surgery
< 2 hours
0
>= 2 hours
1
postoperative complication
no
0
yes
2
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 8
• The higher the score the greater the risk for 30-day readmission.
Total Score
30-Day Readmission
0
< 2%
1
2.4%
2
3.3%
3
5.8%
4
9.5%
Additional risk factors for readmission:
(1) complications with onset after discharge
(2) drinking > 2 alcoholic drinks per day
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