Description

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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