An electronic medical record-derived real-time assessment scale for hospital readmission in the elderly

Authors

Ariba Khan, Advocate Aurora HealthFollow
Michael L. Malone, Advocate Aurora HealthFollow
Patti Pagel
Marsha A. Vollbrecht, Advocate Aurora HealthFollow
Dennis Baumgardner, Advocate Aurora HealthFollow

Recommended Citation

Khan A, Malone ML, Pagel P, Vollbrecht M, Baumgardner DJ. An electronic medical record-derived real-time assessment scale for hospital readmission in the elderly. WMJ. 2012;111(3):119-23.

Affiliations

Senior Services

Abstract

OBJECTIVE: "Readmission risk score", a 20-point, 4-dimensional tool, is generated from the electronic medical record. This study was performed to evaluate the ability of the readmission risk score to predict 30-day readmissions among older hospitalized patients.

METHODS: A retrospective study was conducted utilizing data from the electronic medical record. Using a cutoff value of 7, the readmission score sensitivity was 61%, specificity was 22%, positive predictive value 12%, negative predictive value 77%. The positive and negative likelihood ratios were 0.8 and 1.8, respectively.

CONCLUSION: The readmission risk score was associated with 30-day readmissions (median score of readmitted vs not readmitted patients was 8 vs. 5; P = 0.001), and it may be better at identifying those who are not at risk for readmission.

Document Type

Article

PubMed ID

22870557