Background: Patients hospitalized with COVID-19 can clinically deteriorate in the second week of illness after a period of initial stability. Thus, an important clinical question is determining when it is safe to discharge these patients from the hospital without overwhelming hospitals’ capacities. Unfortunately, discharge criteria for COVID-19 patients are often based on expert opinion, with [...]

Background: The Center for Medicare and Medicaid Services (CMS) instituted the Readmissions Reduction Program to incentivize improvements in care transitions for patients with several common and serious illnesses, including heart failure, acute myocardial infarction, pneumonia, and more recently COPD exacerbations. The HOSPITAL score has been shown to accurately identify medical patients at high-risk for 30-day [...]

Background: The Center for Medicare and Medicaid Services (CMS) instituted the Readmissions Reduction Program to incentivize improvements in care transitions for patients with several common and serious illnesses, including heart failure, acute myocardial infarction, pneumonia, and more recently COPD exacerbations. The HOSPITAL score has been shown to accurately identify medical patients at high-risk for 30-day [...]

Background: In order to most efficiently improve transition of care, hospitals need to target intensive discharge interventions at those patients at high risk of unplanned readmission. The “HOSPITAL” score, derived previously in the US, is an easy to use prediction model that accurately identifies medical patients at high risk of readmission. It includes the following [...]

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The advent of the Patient-Centered Medical Home (PCMH) and Accountable Care Organizations (ACOs) provide an opportunity for true collaboration in which both inpatient and outpatient providers contribute to improving transitions in care. The goal of this study was to develop, implement, [...]

Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate Charlson, Charlson age, simplified HOSPITAL and LACE score in 30-day non-elective readmission prediction at a Brazilian tertiary care teaching public hospital in Southern Brazil. Methods: Retrospective cohort study including all [...]

Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate simplified HOSPITAL score (Aubert et al, 2017) in 30-day non-elective readmission prediction at a Brazilian tertiary care teaching public hospital in Southern Brazil. Methods: Retrospective cohort study including all hospital [...]

Background: Patients hospitalized with COVID-19 can clinically deteriorate in the second week of illness after a period of initial stability. Thus, an important clinical question is determining when it is safe to discharge these patients from the hospital without overwhelming hospitals’ capacities. Unfortunately, discharge criteria for COVID-19 patients are often based on expert opinion, with [...]