2014
DOI: 10.1186/1472-6947-14-65
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Diagnosis-specific readmission risk prediction using electronic health data: a retrospective cohort study

Abstract: BackgroundReadmissions after hospital discharge are a common occurrence and are costly for both hospitals and patients. Previous attempts to create universal risk prediction models for readmission have not met with success. In this study we leveraged a comprehensive electronic health record to create readmission-risk models that were institution- and patient- specific in an attempt to improve our ability to predict readmission.MethodsThis is a retrospective cohort study performed at a large midwestern tertiary… Show more

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Cited by 55 publications
(57 citation statements)
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“…Of 992 titles identified by our search algorithm, 91 qualified for abstract review, 12 for full-text review, and 7 met our inclusion criteria (Figure 1) (11)(12)(13)(14)(15)(16)(17). Of the seven included studies, 11 unique riskprediction models were tested.…”
Section: Resultsmentioning
confidence: 99%
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“…Of 992 titles identified by our search algorithm, 91 qualified for abstract review, 12 for full-text review, and 7 met our inclusion criteria (Figure 1) (11)(12)(13)(14)(15)(16)(17). Of the seven included studies, 11 unique riskprediction models were tested.…”
Section: Resultsmentioning
confidence: 99%
“…The CMS Pneumonia Administrative Model was the most commonly studied-validated in five separate cohorts (12,14,15). The objective of eight of the models was to identify patients hospitalized for pneumonia at high risk for readmission for potential intervention (11,13,16,17), whereas for three of the models the objective was to estimate hospital-level risk-adjusted 30-day SYSTEMATIC REVIEW readmission rates for the purpose of hospital profiling (12,14,15).…”
Section: Resultsmentioning
confidence: 99%
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“…Multiple studies examining data from the Centers for Medicare & Medicaid Services and from single centers have reported 30-day readmission rates after hospitalization for acute MI ranging from 13.3% to 20.3%. 2,10,[16][17][18] In the Medicare population, the most common cause of 30-day readmission was heart failure. 10 In contrast, in a study with MI patients of all ages in Olmsted County, Minnesota, ischemic heart disease, chest pain, and heart failure were the most common causes of readmission.…”
Section: Discussionmentioning
confidence: 99%
“…10 These variables are frequently not documented in the electronic medical records. 20 With the present study, we aimed to determine the local factors for readmission in order to implement directed interventions to reduce them.…”
Section: Discussion Findingsmentioning
confidence: 99%