MDCalc

READMITS Score for Readmissions in Acute MI

Predicts 30-day readmission risk in patients admitted for ST-elevation myocardial infarction (not externally validated).

This calculator is not externally validated, and as such, should be used with caution.

Renal function
Serum creatinine >2 mg/dL (176.8 µmol/L) at any time within first 24 hours in hospital
Elevated BNP or NT-proBNP
BNP: ≥50 pg/mL (5.9 pmol/L), NT-proBNP: ≥125 pg/mL (14.8 pmol/L) at any time within first 24 hours in hospital
years
Diabetes mellitus history
Sex
Intervention with timely PCI
Within the first 24 hours of presenting to hospital
sBP <100 mmHg
At any time within first 24 hours in hospital

Result:

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Advice

  • Should be calculated on the first day of hospital admission (model was designed so that all the required parameters would be available during the first 24 hours of hospital admission).

  • Patients identified as high-risk are most likely to benefit from targeted readmission reduction interventions (e.g. transition of care programs, which may include components such as reading materials, outpatient follow-up appointment scheduled prior to discharge, and others).

  • Readmission reduction interventions are most effective when implemented early in a patient’s hospital course.

Management

Readmission risk was strongly associated with clinical measures of severity. Therefore, early implementation of guideline-recommended acute MI treatments (i.e., early coronary intervention) likely plays an important role in preventing 30-day readmissions.