Benuzillo et al reported a model for predicting the risk of 30-day readmission for a patient admitted for CABG surgery. The authors are from Intermountain Healthcare in Salt Lake City.
Patient selection: coronary artery bypass graft surgery (CABG)
Outcome: 30-day readmission rate
Parameters:
(1) age in years
(2) serum albumin in g/dL prior to surgery
(3) history of prior heart failure
(4) history of diabetes
(5) history of previous myocardial infarction
Parameter
Finding
Points
age in years
0.027 * (age)
serum albumin
-0.373 * (albumin)
prior heart failure
no
0
yes
0.436
history of diabetes
no
0
yes
0.433
previous AMI
no
0
yes
0.366
value of X =
= SUM(points for all of the parameters) - 3.27
probability of 30-day readmission =
= 1 / (1 + EXP((-1) * X
Performance:
• The area under the ROC curve is 0.63 in the derivation and 0.65 in the validation cohorts.
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