Kumar et al reported predictors of 30-day readmission following a hospital admission for sickle cell crisis. These can help to identify a patient who may require more aggressive management. The authors are from Brigham and Women's Hospital, Dana Farber Cancer Center, and Beth Israel Deaconess Medical Center in Boston.
Patient selection: hospitalized for sickle cell crisis
Readmission rate: 27%
Predictors for 30-day readmission from the multivariate analysis:
(1) age 18 to 30 years
(2) discharge against medical advice
(3) Charlson comorbidity index >= 3
(4) low socioeconomic status
(5) admission at a high-volume hospital
Reasons for readmission:
(1) sickle cell crisis
(2) sepsis
(3) acute chest syndrome
(4) pneumonia
(5) pulmonary embolism
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