Score of Whitlock et al for Predicting 30-Day Readmission with Acute Pancreatitis

Description

Whitlock et al developed a score for predicting readmission within 30-days following discharge from the hospital for an episode of acute pancreatitis. This can help to identify a patient who may benefit from more aggressive management. The authors are from Brigham and Women's Hospital in Boston.

Patient selection: discharge from the hospital for acute pancreatitis

Outcome: unplanned readmission within 30 days

Parameters:

(1) diet

(2) gastrointestinal symptoms (nausea, vomiting, diarrhea)

(3) pancreatic necrosis (on contrast-enhanced CT or magnetic resonance imaging during hospitalization)

(4) therapy with antibiotics

(5) pain

Parameter	Finding	Points
diet	solid food	0
	less than solid diet	3
GI symptoms	absent	0
	present	3
pancreatic necrosis	absent	0
	present	2
antibiotic therapy	no	0
	yes	2
pain	no	0
	yes	1

total score =

= SUM(points for all 5 parameters)

Interpretation:

• minimum score: 0

• maximum score: 11

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

Total Score	Risk Score	Percent
0 or 1	low	4-5%
2 or 3	moderate	15-18%
4 to 11	high	68-87%

Performance:

• The area under the ROC curve was 0.83.

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