Critical Care Medicine www.ccmjournal.org 2773 Objectives: To determine the rate of unplanned PICU readmissions, examine the characteristics of index admissions associated with readmission, and compare outcomes of readmissions versus index admissions. Design: Retrospective cohort analysis. Setting: Ninety North American PICUs that participated in the Virtual Pediatric Intensive Care Unit System...

BACKGROUND The LACE index was designed to predict early death or unplanned readmission after discharge from hospital to the community. However, implementing the LACE tool in real time in a teaching hospital required practical unavoidable modifications. OBJECTIVE The purpose of this study was to validate the implementation of a modified LACE index (LACE-rt) and test its ability to predict read...

While liver transplantation is the definitive therapy for end stage liver disease, it remains a major procedure, with many potential complications. Hospital readmissions after the initial hospitalization for liver transplantation can be associated with adverse outcomes, increased cost, and resource utilization. Our aim was to define the incidence and reasons for hospital readmission after liver...

BACKGROUND Management of inpatients with inflammatory bowel disease (IBD) requires increasing resources. We aimed to identify factors associated with hospital readmissions among individuals with IBD. MATERIALS & METHODS We collected data from the Healthcare Cost and Utilization Project Nationwide Readmissions Database 2013. We identified individuals with index hospitalizations for IBD. Patien...

BACKGROUND Identifying patients at high risk for readmission early during hospitalization may aid efforts in reducing readmissions. We sought to develop an early readmission risk predictive model using automated clinical data available at hospital admission. METHODS We developed an early readmission risk model using a derivation cohort and validated the model with a validation cohort. We used...

Hospital readmission rate is adopted as a key hospital quality metric by the Centers for Medicare and Medicaid Services (CMS). In 2012, CMS began penalizing 2200 hospitals with excess readmission rates for a total about $280 million in Medicare payments. However, readmission rate may not be an appropriate quality metric because it may be driven by factors other than the care given at hospitals....

IMPORTANCE Hospital readmissions are common, costly, and potentially preventable. Little is known about the association between available skilled nursing facility (SNF) performance measures and the risk of hospital readmission. OBJECTIVE To measure the association between SNF performance measures and hospital readmissions among Medicare beneficiaries receiving postacute care at SNFs in the Un...

BACKGROUND Hospital readmissions are associated with higher resource utilization and worse patient outcomes. Causes of unplanned readmission to the hospital are multiple with some being better targets for intervention than others. To understand risk factors for surgical readmission and their incremental contribution to current Veterans Health Administration (VA) surgical quality assessment, the...