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    HOSPITAL Score for Readmissions

    Predicts 30-day potentially avoidable hospital readmissions.
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    When to Use

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    ≥12
    0
    <12
    +1
    No
    0
    Yes
    +2
    ≥135
    0
    <135
    +1
    No
    0
    Yes
    +1
    Elective
    0
    Urgent or emergent
    +1
    0-1
    0
    2-5
    +2
    >5
    +5
    <5 days
    0
    ≥5 days
    +2

    Result:

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    Evidence
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    Formula

    Addition of the selected points:

    Variable

    Points

    Hemoglobin level at discharge, g/dL

    ≥12 

    0

    <12 

    1

    Discharged from oncology service

    No

    0

    Yes

    2

    Sodium level at discharge, mEq/L

    ≥135 

    0

    <135 

    1

    Any ICD-9 coded procedure performed during hospital stay

    No

    0

    Yes

    1

    Index admission type

    Elective

    0

    Urgent or emergent

    1

    Number of hospital admissions during the previous year

    0-1

    0

    2-5

    2

    >5

    5

    Length of stay

    <5 days

    0

    ≥5 days

    2

    Facts & Figures

    Interpretation:

    HOSPITAL Score

    Risk group

    Risk of potentially avoidable* 30-day readmission**

    0-4 points

    Low

    5.8%

    5-6 points

    Intermediate

    12.0%

    ≥7 points

    High

    22.8%

    *Algorithm used in Donzé et al classified “foreseeable” readmissions as unavoidable, e.g. readmissions for transplantation, labor and delivery, chemotherapy, radiotherapy, follow-up, rehabilitation treatment, specific surgical procedures, or specific diseases deemed difficult to cure (e.g. multiple sclerosis, idiopathic thrombocytopenia). Then, readmissions involving new organ systems unknown to be affected during the preceding hospitalization were classified as UNavoidable. Complications of treatment (e.g. DVT, catheter-associated UTI, drug-induced disorders) were considered potentially avoidable.

    **From Donzé 2016 (validation study).

    Dr. Jacques D. Donzé

    About the Creator

    Jacques D. Donzé, MD, MSc, is an internist at Brigham and Women's Hospital in Boston. He is also a research associate with the Harvard Clinical and Translational Science Center. Dr. Donzé’s research focuses primarily on hospital readmission and transition of care, venous thromboembolism, and antithrombotic therapy.

    To view Dr. Jacques D. Donzé's publications, visit PubMed

    About the Creator
    Dr. Jacques D. Donzé