Description

Valero et al developed score for predicting readmission of a patient following pancreatectomy. This can help to identify a patient who may benefit from more aggressive management. The authors are from the Johns Hopkins University, the University of Pennsylvania, and the Pancreas Readmission Assessment Group study.


Patient selection: status post pancreatectomy

 

Patient selection:

(1) ASA class

(2) history of myocardial infarction

(3) history of dementia

(4) sepsis

(5) postoperative hemorrhage

(6) delayed gastric emptying

(7) surgical site infection

(8) length of hospital stay in days

 

Parameter

Finding

Points

ASA class

1 or 2

0

 

3, 4 or 5

2

history of myocardial infarction

no

0

 

yes

3

history of dementia

no

0

 

yes

9

sepsis

no

0

 

yes

5

postoperative hemorrhage

no

0

 

yes

3

delayed gastric emptying

no

0

 

yes

3

surgical site infection

no

0

 

yes

5

length of hospital stay

< 10 days

0

 

>= 10 days

2

 

where:

• Non-history items are related to pancreatectomy admission.

 

total score =

= SUM(points for all 8 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 32

• The higher the score the greater the risk for readmission.

 

Total Score

Risk Group

Readmission

<= 3

low

< 15%

4, 5, 6, or 7

intermediate

15 to 35%

>= 8

high

>= 36%

 


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