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A prospective cohort study comparing two predictor models for 30-day emergency readmission in the elderly.
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  • Michael Armitage,
  • Gerry Lee,
  • Benjamin Allison,
  • Michelle Brandt-Sarif,
  • Marcus Williams,
  • Vivek Srivastava
Michael Armitage
University Hospitals Birmingham NHS Foundation Trust
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Gerry Lee
King's College London Florence Nightingale School of Nursing and Midwifery
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Benjamin Allison
King's College London
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Michelle Brandt-Sarif
King's College London
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Marcus Williams
King's College London
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Vivek Srivastava
Guy's and St Thomas' Hospitals NHS Trust
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Abstract

Aim: To undertake a prospective study of the efficacy of two models (LACE and BOOST) in predicting unplanned hospital readmission. Methods: Data were collected from a single centre prospectively over a continuous 30-day period on all patients over 75 years old admitted to the acute medical unit. The primary outcome was the area under the curve for both models. Results: Area under the curve were calculated for both tools with BOOST score 0.667 (95% CI: 0.559-0.775, p=0.005) and C-statistic for LACE index 0.685 (95% CI: 0.579-0.792, p=0.002). Conclusion: In this prospective study, both the BOOST and LACE scores were found to be significant predictive models of hospital readmission. Recent hospitalisation was found to be the most significant contributing factor. Key Words: Elderly, prediction, readmission

Peer review status:ACCEPTED

17 Mar 2021Submitted to International Journal of Clinical Practice
18 Mar 2021Submission Checks Completed
18 Mar 2021Assigned to Editor
22 Mar 2021Reviewer(s) Assigned
29 Mar 2021Review(s) Completed, Editorial Evaluation Pending
10 May 20211st Revision Received
11 May 2021Submission Checks Completed
11 May 2021Assigned to Editor
11 May 2021Review(s) Completed, Editorial Evaluation Pending
11 May 2021Reviewer(s) Assigned
18 May 20212nd Revision Received
20 May 2021Assigned to Editor
20 May 2021Submission Checks Completed
20 May 2021Review(s) Completed, Editorial Evaluation Pending
28 May 2021Reviewer(s) Assigned
06 Jun 2021Editorial Decision: Accept