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LACE index

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https://www.readbyqxmd.com/read/27696638/comparing-performance-of-30-day-readmission-risk-classifiers-among-hospitalized-primary-care-patients
#1
Gregory M Garrison, Paul M Robelia, Jennifer L Pecina, Nancy L Dawson
RATIONALE, AIMS AND OBJECTIVES: Hospital readmission within 30 days of discharge occurs in almost 20% of US Medicare patients and may be a marker of poor quality inpatient care, ineffective hospital to home transitions, or disease severity. Within a patient centered medical home, care transition interventions may only be practical from cost and staffing perspectives if targeted at patients with the greatest risk of readmission. Various scoring algorithms attempt to predict patients at risk for 30-day readmission, but head-to-head comparison of performance is lacking...
October 3, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27595679/utility-of-the-lace-index-at-the-bedside-in-predicting-30-day-readmission-or-death-in-patients-hospitalized-with-heart-failure
#2
Payam Yazdan-Ashoori, Shun Fu Lee, Quazi Ibrahim, Harriette G C Van Spall
UNLABELLED: The Length of stay, Acuity, Comorbidities, Emergency department visits in prior 6 months (LACE) index threshold of 10 predicts readmission or death in general medical patients in administrative databases. We assessed whether the unadjusted LACE index, computed at the bedside, can predict 30-day outcomes in patients hospitalized for heart failure. METHODS: We used logistic regression with LACE as the continuous predictor and 30-day readmissions and 30-day readmission or death as outcomes...
September 2016: American Heart Journal
https://www.readbyqxmd.com/read/27391991/evaluation-of-prediction-strategy-and-care-coordination-for-copd-readmissions
#3
Babar Bashir, Doron Schneider, Mary C Naglak, Thomas M Churilla, Marguerite Adelsberger
OBJECTIVES: Factors that influence the likelihood of readmission for chronic obstructive pulmonary disease (COPD) patients and the impact of posthospital care coordination remain uncertain. LACE index (L = length of stay, A = Acuity of admission; C = Charlson comorbidity index; E = No. of emergency department (ED) visits in last 6 months) is a validated tool for predicting 30-days readmissions for general medicine patients. We aimed to identify variables predictive of COPD readmissions including LACE index and determine the impact of a novel care management process on 30-day all-cause readmission rate...
August 2016: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/26929109/preparedness-for-hospital-discharge-and-prediction-of-readmission
#4
REVIEW
Amanda S Mixon, Kathryn Goggins, Susan P Bell, Eduard E Vasilevskis, Samuel Nwosu, Jonathan S Schildcrout, Sunil Kripalani
BACKGROUND, OBJECTIVE: Patients' self-reported preparedness for discharge has been shown to predict readmission. It is unclear what differences exist in the predictive abilities of 2 available discharge preparedness measures. To address this gap, we conducted a comparison of these measures. DESIGN, SETTING, PATIENTS: Adults hospitalized for cardiovascular diagnoses were enrolled in a prospective cohort. MEASUREMENTS: Two patient-reported preparedness measures assessed during postdischarge calls: the 11-item Brief Prescriptions, Ready to re-enter community, Education, Placement, Assurance of safety, Realistic expectations, Empowerment, Directed to appropriate services (B-PREPARED) and the 3-item Care Transitions Measure (CTM-3)...
September 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/26929062/predicting-all-cause-readmissions-using-electronic-health-record-data-from-the-entire-hospitalization-model-development-and-comparison
#5
REVIEW
Oanh Kieu Nguyen, Anil N Makam, Christopher Clark, Song Zhang, Bin Xie, Ferdinand Velasco, Ruben Amarasingham, Ethan A Halm
BACKGROUND: Incorporating clinical information from the full hospital course may improve prediction of 30-day readmissions. OBJECTIVE: To develop an all-cause readmissions risk-prediction model incorporating electronic health record (EHR) data from the full hospital stay, and to compare "full-stay" model performance to a "first day" and 2 other validated models, LACE (includes Length of stay, Acute [nonelective] admission status, Charlson Comorbidity Index, and Emergency department visits in the past year), and HOSPITAL (includes Hemoglobin at discharge, discharge from Oncology service, Sodium level at discharge, Procedure during index hospitalization, Index hospitalization Type [nonelective], number of Admissions in the past year, and Length of stay)...
July 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/26920363/comparison-of-predictive-modeling-approaches-for-30-day-all-cause-non-elective-readmission-risk
#6
Liping Tong, Cole Erdmann, Marina Daldalian, Jing Li, Tina Esposito
BACKGROUND: This paper explores the importance of electronic medical records (EMR) for predicting 30-day all-cause non-elective readmission risk of patients and presents a comparison of prediction performance of commonly used methods. METHODS: The data are extracted from eight Advocate Health Care hospitals. Index admissions are excluded from the cohort if they are observation, inpatient admissions for psychiatry, skilled nursing, hospice, rehabilitation, maternal and newborn visits, or if the patient expires during the index admission...
2016: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/26824962/early-hospital-readmission-and-mortality-risk-after-surgical-treatment-of-proximal-humerus-fractures-in-a-community-based-health-care-organization
#7
Edward Yian, Hui Zhou, Ariyon Schreiber, Jeff Sodl, Ron Navarro, Anshuman Singh, Nikita Bezrukov
CONTEXT: Surgical treatment for proximal humerus fractures has increased exponentially. Recent health care policies incentivize centers to reduce hospital readmission rates. Better understanding of risk factors for readmission and early mortality in this population will assist in identifying favorable risk-benefit patient profiles. OBJECTIVE: To identify incidence and risk factors of 30-day hospital readmission rate and 1-year mortality rate after open surgery of proximal humerus fractures...
2016: Permanente Journal
https://www.readbyqxmd.com/read/26682212/predicting-30-day-readmissions-performance-of-the-lace-index-compared-with-a-regression-model-among-general-medicine-patients-in-singapore
#8
Lian Leng Low, Kheng Hock Lee, Marcus Eng Hock Ong, Sijia Wang, Shu Yun Tan, Julian Thumboo, Nan Liu
The LACE index (length of stay, acuity of admission, Charlson comorbidity index, CCI, and number of emergency department visits in preceding 6 months) derived in Canada is simple and may have clinical utility in Singapore to predict readmission risk. We compared the performance of the LACE index with a derived model in identifying 30-day readmissions from a population of general medicine patients in Singapore. Additional variables include patient demographics, comorbidities, clinical and laboratory variables during the index admission, and prior healthcare utilization in the preceding year...
2015: BioMed Research International
https://www.readbyqxmd.com/read/26547873/biological-properties-of-extremely-acidic-cyanide-laced%C3%A2-mining-waste
#9
Zuzana Feketeová, Veronika Hulejová Sládkovičová, Barbara Mangová, Andrea Pogányová, Ivan Šimkovic, Miroslav Krumpál
With respect to acidic, cyanide-laced tailings, the data about in situ toxicity and biological activity in highly polluted environment are often lacking. The aim of this study was to assess the microbial characteristics, composition of oribatid mite species, and level of genotoxic impact on plants in the area of inactive tailings pond (Horná Ves, Kremnica region). Sampling of the tailings, soils and selected plant species was carried out in spring of 2012. Trace element analysis (inductively coupled plasma emission and mass spectrometry) showed that concentration of Pb, Zn, and Cu in the tailings is approximately in thousands of ppm (mg kg(-1))...
January 2016: Ecotoxicology
https://www.readbyqxmd.com/read/26467172/reasons-for-returning-to-the-emergency-department-following-discharge-from-an-internal-medicine-unit-perspectives-of-patients-and-the-liaison-nurse-clinician
#10
Molywan Vat, Carol Common, Andrea Maria Laizner, Coralie Borduas, Christine Maheu
AIMS AND OBJECTIVES: To understand the patients' reasons for returning to the emergency department soon after their discharge from an internal medicine unit and to compare these reasons with the liaison nurse clinician's risk assessment tools used for discharge planning. BACKGROUND: Returns to the emergency departments soon after discharge from the hospital are a recurrent problem. Factors precipitating readmission to hospital have been analysed through the lens of health care providers, but few studies have explored the patients' perspectives on their reasons for returning to the emergency departments...
December 2015: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26344631/patient-reported-discharge-readiness-and-30-day-risk-of-readmission-or-death-a%C3%A2-prospective-cohort-study
#11
Darren Lau, Raj S Padwal, Sumit R Majumdar, Jenelle L Pederson, Sara Belga, Sharry Kahlon, Miriam Fradette, Debbie Boyko, Finlay A McAlister
BACKGROUND: Early readmissions to hospital after discharge are common, and clinicians cannot accurately predict their occurrence. We examined whether patients who feel unready at the time of discharge have increased readmissions or death within 30 days. METHODS: This was a prospective cohort study of adult patients discharged home from 2 tertiary care hospitals in Edmonton, Alberta, Canada, between October 2013 and November 2014. Patient-reported discharge readiness was measured with an 11-point Likert response scale, with scores <7 indicating subjective unreadiness...
January 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/26173366/impact-of-a-social-work-care-coordination-intervention-on-hospital-readmission-a-randomized-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Laura R Bronstein, Paul Gould, Shawn A Berkowitz, Gary D James, Kris Marks
This study assessed how a social work-led care coordination intervention would reduce the within-30-day hospital readmission rate among moderate- and high-risk patients age 50 years or older. Authors ran a randomized controlled trial to determine whether there was a significant difference in within-30-day readmission rates between patients receiving usual care post-discharge and those receiving intervention from an MSW intern (one home visit and one to two phone calls). Results were obtained using a sample of hospitalized patients with a LACE index score of 7 or higher (N = 89)...
July 2015: Social Work
https://www.readbyqxmd.com/read/26042747/validation-of-a-predictive-model-to-identify-patients-at-high-risk-for-hospital-readmission
#13
LeeAnna Spiva, Marti Hand, Lewis VanBrackle, Frank McVay
BACKGROUND: Hospital readmission is an adverse patient outcome that is serious, common, and costly. For hospitals, identifying patients at risk for hospital readmission is a priority to reduce costs and improve care. PURPOSE: The purposes were to validate a predictive algorithm to identify patients at a high risk for preventable hospital readmission within 30 days after discharge and determine if additional risk factors enhance readmission predictability. METHODS: A retrospective study was conducted on a randomized sample of 598 patients discharged from a Southeast community hospital...
January 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/25537769/similar-outcomes-among-general-medicine-patients-discharged-on-weekends
#14
Finlay A McAlister, Erik Youngson, Raj S Padwal, Sumit R Majumdar
BACKGROUND: Hospitals reduce staffing levels and services on weekends. This raises the question of whether weekend discharges may be inadequately prepared and thus at higher risk for adverse events postdischarge. OBJECTIVE: To compare death or nonelective readmission rates 30 days after weekend versus weekday discharge. DESIGN: Retrospective cohort. SETTING: All teaching hospitals in Alberta, Canada. PATIENTS: General internal medicine (GIM) discharges (only 1 per patient)...
February 2015: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/25099997/using-the-lace-index-to-predict-hospital-readmissions-in-congestive-heart-failure-patients
#15
Hao Wang, Richard D Robinson, Carlos Johnson, Nestor R Zenarosa, Rani D Jayswal, Joshua Keithley, Kathleen A Delaney
BACKGROUND: The LACE index has been used to predict the risk of unplanned readmission within 30 days after hospital discharge in both medical and surgical patients. The aim of this study is to validate the accuracy of using the LACE index in CHF patients. METHODS: This was a retrospective study. The LACE index score was calculated on each patient who was admitted to hospital due to an acute CHF exacerbation. Operational and clinical variables were collected from patients including basic clinical characteristics, length of hospitalization, comorbidities, number of previous ED visits in the past 6 months before the index admission, and the number of post discharge ED revisits at 30, 60, and 90 days...
2014: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/24074454/applicability-of-a-previously-validated-readmission-predictive-index-in-medical-patients-in-singapore-a-retrospective-study
#16
Shu Yun Tan, Lian Leng Low, Yong Yang, Kheng Hock Lee
BACKGROUND: Hospital readmissions are serious and costly events, and readmission rates are considered to be an indicator of quality in health care management. Several models to identify patients at risk of unplanned readmissions have been developed in Western countries, but little is known about their performance in other countries. This paper reports the possible utility of one such model developed in Canada, the LACE index, in patients in a tertiary hospital in Singapore. METHODS: We used administrative data from Singapore General Hospital for patients admitted between 1st January 2006 and 31st December 2010...
2013: BMC Health Services Research
https://www.readbyqxmd.com/read/23964634/genetic-variation-in-the-promoter-region-of-beta-defensin-1-defb-1-is-associated-with-high-caries-experience-in-children-born-with-cleft-lip-and-palate
#17
Kristīne Krasone, Baiba Lāce, Ilze Akota, Rūta Care, Kathleen Deeley, Erika C Küchler, Alexandre R Vieira
OBJECTIVE: Caries is a common disease in humans and has a multifactorial etiology. It has been suggested that children born with cleft lip and/or palate (CL/P) have a higher susceptibility to caries, but data from several independent cohorts does not support this assumption. Previous work from our group suggested DEFB 1 is associated with higher caries experience. Since it is suspected that children born with CL/P have the same risk factors predisposing them to caries as other children of the same ages, the aim was to test if DEFB 1 was associated with caries experience in children born with CL/P...
April 2014: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/23921171/pemetrexed-use-in-the-adjuvant-setting-for-completely-resectable-non-small-cell-lung-cancer
#18
REVIEW
George R Simon, Christian Manegold, Scott S Barker, Joseph A Treat, Carla Visseren-Grul, Coleman Obasaju
Supported by evidence from the LACE (Lung Adjuvant Cisplatin Evaluation) metaanalysis, cisplatin-based adjuvant chemotherapy is now recommended as the standard of care for patients with surgically resected early-stage non-small-cell lung cancer (NSCLC) per American Society of Clinical Oncology and European Society for Medical Oncology clinical practice guidelines. These standard regimens, which principally include cisplatin-etoposide and cisplatin-vinorelbine, are associated with long- and short-term toxicities...
November 2013: Clinical Lung Cancer
https://www.readbyqxmd.com/read/23824242/effect-of-environmental-stress-factors-on-ecophysiological-traits-and-susceptibility-to-pathogens-of-five-populus-clones-throughout-the-growing-season
#19
Jordi Fernàndez-Martínez, Massimo Zacchini, Georgina Elena, Beatriz Fernández-Marín, Isabel Fleck
The variability of ecophysiological traits associated with productivity (e.g., water relations, leaf structure, photosynthesis and nitrogen (N) content) and susceptibility to fungal and insect infection were investigated in five poplar clones (Populus deltoides Batr.-Lux clone; Populus nigra L.-58-861 clone and Populus × canadensis Mönch.-Luisa Avanzo, I-214 and Adige clones) during their growing season. The objective of the study was to determine their physiological responses under summer constraints (characteristic of the Mediterranean climate) and to propose clone candidates for environmental restoration activities such as phytoremediation...
June 2013: Tree Physiology
https://www.readbyqxmd.com/read/23696773/lace-index-extension-of-a-validated-index-to-predict-early-death-or-urgent-readmission-after-hospital-discharge-using-administrative-data
#20
Carl van Walraven, Jenna Wong, Alan J Forster
BACKGROUND: Death or urgent readmission after hospital discharge is a common adverse event that can be used to compare outcomes of care between institutions. To accurately adjust for risk and to allow for interhospital comparisons of readmission rates, we used administrative data to derive and internally validate an extension of the LACE index, a previously validated index for 30-day death or urgent readmission. METHODS: We randomly selected 500 000 medical and surgical patients discharged to the community from any Ontario hospital between 1 April 2003 and 31 March 2009...
2012: Open Medicine: a Peer-reviewed, Independent, Open-access Journal
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