Wu et al reported the COPD Readmission (CORE) score for predicting readmission for a patient hospitalized with COPD. This can help to identify a patient who may require more aggressive management. The authors are from Taipei Tzu Chi Hospital n New Taipei City, Taiwan.
Patient selection: adult hospitalized with COPD
Parameters:
(1) percent eosinophils in the peripheral blood
(2) FEV1 as percent of predicted
(3) triple therapy (LAMA + LABA + ICS)
(4) history of prior hospitalization for COPD
(5) neuromuscular disease
Parameter
Finding
Points
percent eosinophils
< 2%
0
>= 2%
1
FEV1
> 40%
0
<= 40%
1
triple therapy
no
0
yes
1
history
no
0
yes
1
neuromuscular disease
no
0
yes
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
one year readmission rate in percent =
= (14 * (score)) + 36
Total Score
1-Year Readmission Free Survival
0
63%
1
57%
2
35%
3
21%
4
12%
Performance:
• The area under the ROC curve is 0.70.
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