AMI READMITS Score - 30-Day Readmission After Myocardial Infarction

Description

Nguyen et al developed the READMITS score to identify a high-risk patient with an acute myocardial infarction (AMI). This can help to identify a patient who may benefit from more aggressive management. The authors are from UT Southwestern Medical Center and Parkland Health & Hospital System in Dallas.

Patient selection: adult with AMI

Outcome: 30-day readmission

Parameters during first 24 hours in hospital:

(1) serum creatinine in mg/dL

(2) serum BNP or NT-proBNP

(3) age per decade after 18 years of age

(4) history of diabetes mellitus

(5) sex

(6) timely PCI (percutaneous coronary intervention within the first 24 hours)

(7) systolic blood pressure in mm Hg

Parameter	Finding	Points
serum creatinine	<= 2.0 mg/dL	0
	> 2.0 mg/dL	6
serum BNP or NT-proBNP	not elevated	0
	elevated (BNP >= 50 pg/mL; NT-proBNP >= 125 pg/mL)	8
age per decade after 18		((age)-18)/10
diabetes mellitus	no	0
	yes	4
sex	male	0
	female	2
timely PCI	yes	0
	no	1
systolic blood pressure	>= 100 mm Hg	0
	< 100 mm Hg	3

total score =

= SUM(points for all 7 parameters)

Interpretation:

• minimum score: 0

• maximum score: around 33 (dependent on age)

• The higher the score the greater the risk of readmission.

Score	Risk Category	Readmission
0 to 13	extremely low	2-3%
14 to 15	low	7-8%
16 to 17	moderate	9-11%
18 to 19	high	16-17%
>= 20	extremely high	34-35%

Performance:

• The area under the ROC curve was 0.75.

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Description

Objective

ICD-10

AMI READMITS Score - 30-Day Readmission After Acute Myocardial Infarction

Purpose: To evaluate a patient with an acute myocardial infarction (AMI) using the READMITS score of Nguyen et al.

Description

Objective

ICD-10