scholarly journals A Public-Private Partnership Develops and Externally Validates a 30-Day Hospital Readmission Risk Prediction Model

Author(s):  
Shahid Ali Choudhry ◽  
Jing Li ◽  
Darcy Davis ◽  
Cole Erdmann ◽  
Rishi Sikka ◽  
...  
2019 ◽  
Author(s):  
Sameh N. Saleh ◽  
Anil N. Makam ◽  
Ethan A. Halm ◽  
Oanh Kieu Nguyen

AbstractDespite focus on preventing 30-day readmissions, early readmissions (within 7 days of discharge) may be more preventable than later readmissions (8-30 days). We assessed how well a previously validated 30-day readmission prediction model predicts 7-day readmissions. We re-derived model coefficients for the same predictors as in the original 30-day model to optimize prediction of 7-day readmissions. We compared model performance and compared differences in strength of model factors between the 7-day model to the 30-day model. While there was no substantial change in model performance between the original 30-day and the re-derived 7-day model, there was significant change in strength of predictors. Characteristics at discharge were more predictive of 7-day readmissions, while baseline characteristics were less predictive. Improvements in predicting early 7-day readmissions will likely require new risk factors proximal to the day of discharge.


2016 ◽  
Vol 19 (7) ◽  
pp. A809
Author(s):  
SR Dorajoo ◽  
V See ◽  
CT Chan ◽  
ZY Tan ◽  
N Koomanan ◽  
...  

2021 ◽  
Author(s):  
Rupanjali Chaudhuri ◽  
Vadim Khotilovich ◽  
Monica Gaur ◽  
KV Chetan ◽  
Will Zimmerman

Author(s):  
Sameh N. Saleh ◽  
Anil N. Makam ◽  
Ethan A. Halm ◽  
Oanh Kieu Nguyen

Abstract Background Despite focus on preventing 30-day readmissions, early readmissions (within 7 days of discharge) may be more preventable than later readmissions (8–30 days). We assessed how well a previously validated 30-day EHR-based readmission prediction model predicts 7-day readmissions and compared differences in strength of predictors. Methods We conducted an observational study on adult hospitalizations from 6 diverse hospitals in North Texas using a 50–50 split-sample derivation and validation approach. We re-derived model coefficients for the same predictors as in the original 30-day model to optimize prediction of 7-day readmissions. We then compared the discrimination and calibration of the 7-day model to the 30-day model to assess model performance. To examine the changes in the point estimates between the two models, we evaluated the percent changes in coefficients. Results Of 32,922 index hospitalizations among unique patients, 4.4% had a 7-day admission and 12.7% had a 30-day readmission. Our original 30-day model had modestly lower discrimination for predicting 7-day vs. any 30-day readmission (C-statistic of 0.66 vs. 0.69, p ≤ 0.001). Our re-derived 7-day model had similar discrimination (C-statistic of 0.66, p = 0.38), but improved calibration. For the re-derived 7-day model, discharge day factors were more predictive of early readmissions, while baseline characteristics were less predictive. Conclusion A previously validated 30-day readmission model can also be used as a stopgap to predict 7-day readmissions as model performance did not substantially change. However, strength of predictors differed between the 7-day and 30-day model; characteristics at discharge were more predictive of 7-day readmissions, while baseline characteristics were less predictive. Improvements in predicting early 7-day readmissions will likely require new risk factors proximal to day of discharge.


Author(s):  
Nuur Azreen Paiman ◽  
◽  
Azian Hariri ◽  
Ibrahim Masood ◽  
Arma Noor ◽  
...  

2020 ◽  
Author(s):  
Liwen Zhang ◽  
Di Dong ◽  
Wenjuan Zhang ◽  
Xiaohan Hao ◽  
Mengjie Fang ◽  
...  

2021 ◽  
Vol 79 ◽  
pp. S1112-S1113
Author(s):  
A.A. Nasrallah ◽  
M. Mansour ◽  
C.H. Ayoub ◽  
N. Abou Heidar ◽  
J.A. Najdi ◽  
...  

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