Fitriana et al reported a simple score for predicting 30-day unplanned readmission for a geriatric inpatient. This can help to identify a patient who may benefit from more aggressive management to address issues such as depression and malnutrition. The authors are from Universitas Indonesia in Jakarta.
Patient selection: >= 60-year-old inpatient
Rate of readmission in study: 38%
Parameters:
(1) depression status
(2) malignancy
(3) malnutrition status
(4) functional status
Parameter
Finding
Points
depression
none
0
low to moderate risk
0
strong probability
2
present
2
malignancy
no
0
yes
2
malnutrition
none
0
at risk
2
present
2
functional status
independent
0
partially dependent
0
dependent
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximums score: 7
• A score >= 3 is associated with an 82% probability of readmission (this is equivalent to 2 or more of the parameters being present)..
Performance:
• The area under the ROC curve is 0.69.
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