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% |
Purpose: To evaluate a patient for the risk of readmission after a pancreatectomy using the risk score of Valero et al.
Specialty: Gastroenterology, Surgery, general
Objective: risk factors, severity, prognosis, stage
ICD-10: C25, D13.6, K85, K86.0, K86.1,