Barbas et al reported the Readmission Prediction Score that can help to identify a patient at risk for readmission following hepatic surgery. The authors are from the University of Maryland in Baltimore.
Patient selection: status post hepatic surgery
Parameters:
(1) extent of hepatic surgery
(2) other major nonhepatic surgery performed at the same operation
(3) length of time in the hospital in days
(4) number of significant postoperative complications (Clavien Class >= 3)
|
Parameter |
Finding |
Points |
|
extent of hepatic surgery |
major hepatectomy (>= 4 segments) |
1 |
|
|
other |
0 |
|
other major nonhepatic surgery |
no |
0 |
|
|
yes |
1 |
|
hospital stay |
<= 7 days |
0 |
|
|
> 7 days |
1 |
|
number of postoperative complications |
0 |
0 |
|
|
>= 1 |
1 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
• The higher the score the greater the likelihood of readmission.
|
Total Score |
Readmission |
|
0 |
5% |
|
1 |
9.7% |
|
2 |
18.8% |
|
3 |
31% |
|
4 |
48% |
Purpose: To evaluate a patient following hepatic surgery using the Readmission Prediction Score of Barbas et al.
Objective: risk factors, surgery
ICD-10: K70-K77,
