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Research Letter| Volume 21, ISSUE 4, P556-557.e4, April 2020

External Validation and Comparison of Early Readmission's Risk Scores in Older Adults: Prospective Observational Study

  • Schwab Camille
    Affiliations
    GHU APHP, Sorbonne Université, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Paris, France
    GHU APHP, Centre-Université de Paris, Hôpital européen Georges Pompidou, Service Pharmacie, Paris, France
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  • Hindlet Patrick
    Affiliations
    GHU APHP, Sorbonne Université, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Paris, France
    Département de Pharmacie Clinique, Faculté de Pharmacie, Université Paris-Sud, Châtenay-Malabry, France
    GHU APHP, Sorbonne Université, Hôpital Saint Antoine, Service Pharmacie, Paris, France
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  • Duverger Clarisse
    Affiliations
    GHU APHP, Sorbonne Université, Hôpital Saint Antoine, Service Pharmacie, Paris, France
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  • Nazoiri Charifa
    Affiliations
    GHU APHP, Centre-Université de Paris, Hôpital européen Georges Pompidou, Service Pharmacie, Paris, France
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  • Sabatier Brigitte
    Affiliations
    GHU APHP, Centre-Université de Paris, Hôpital européen Georges Pompidou, Service Pharmacie, Paris, France
    INSERM UMR 1138 Team 22: Information Sciences to Support Personalized Medicine, Cordelier Research Center, Paris, France
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  • Fernandez Christine
    Affiliations
    GHU APHP, Sorbonne Université, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Paris, France
    Département de Pharmacie Clinique, Faculté de Pharmacie, Université Paris-Sud, Châtenay-Malabry, France
    GHU APHP, Sorbonne Université, Hôpital Saint Antoine, Service Pharmacie, Paris, France
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  • Korb-Savoldelli Virginie
    Affiliations
    GHU APHP, Centre-Université de Paris, Hôpital européen Georges Pompidou, Service Pharmacie, Paris, France
    Département de Pharmacie Clinique, Faculté de Pharmacie, Université Paris-Sud, Châtenay-Malabry, France
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Published:February 07, 2020DOI:https://doi.org/10.1016/j.jamda.2019.12.016
      Unplanned readmissions in older patients are a prominent and current issue for healthcare professionals and regulators. They can indeed be very deleterious for patients, leading to an increased risk of dependence and functional or psychosocial decline,
      • Arendts G.
      • Fitzhardinge S.
      • Pronk K.
      • et al.
      The impact of early emergency department allied health intervention on admission rates in older people: A non-randomized clinical study.
      and for hospitals as these readmissions are costly.
      • Zook C.J.
      • Savickis S.F.
      • Moore F.D.
      Repeated hospitalization for the same disease: A multiplier of national health costs.
      Moreover, the reduction of readmissions was introduced into guidelines by health system organizations as a quality indicator.
      Haute Autorité de Santé
      Comment réduire le risque de réhospitalisations évitables des personnes âgées? (How to reduce the risk of avoidable readmissions for elderly patients?).
      ,
      • Fischer C.
      • Lingsma H.F.
      • Marang-van de Mheen P.J.
      • et al.
      Is the readmission rate a valid quality indicator? A review of the evidence.
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      References

        • Arendts G.
        • Fitzhardinge S.
        • Pronk K.
        • et al.
        The impact of early emergency department allied health intervention on admission rates in older people: A non-randomized clinical study.
        BMC Geriatr. 2012; 12: 8
        • Zook C.J.
        • Savickis S.F.
        • Moore F.D.
        Repeated hospitalization for the same disease: A multiplier of national health costs.
        Milbank Mem Fund Q Health Soc. 1980; 58: 454-471
        • Haute Autorité de Santé
        Comment réduire le risque de réhospitalisations évitables des personnes âgées? (How to reduce the risk of avoidable readmissions for elderly patients?).
        2013 (Available at:) (Accessed January 20, 2020)
        • Fischer C.
        • Lingsma H.F.
        • Marang-van de Mheen P.J.
        • et al.
        Is the readmission rate a valid quality indicator? A review of the evidence.
        PLoS One. 2014; 9: e112282
        • Hansen L.O.
        • Young R.S.
        • Hinami K.
        • et al.
        Interventions to reduce 30-day rehospitalization: A systematic review.
        Ann Intern Med. 2011; 155: 520-528
        • Schwab C.
        • Hindlet P.
        • Sabatier B.
        • et al.
        Risk scores identifying elderly inpatients at risk of 30-day unplanned readmission and accident and emergency department visit: A systematic review.
        BMJ Open. 2019; 9: e028302
        • Donzé J.D.
        • Williams M.V.
        • Robinson E.J.
        • et al.
        International validity of the HOSPITAL Score to predict 30-day potentially avoidable hospital readmissions.
        JAMA Intern Med. 2016; 176: 496-502
        • Alassaad A.
        • Melhus H.
        • Hammarlund-Udenaes M.
        • et al.
        A tool for prediction of risk of rehospitalisation and mortality in the hospitalised elderly: Secondary analysis of clinical trial data.
        BMJ Open. 2015; 5: e007259
        • Ben-Chetrit E.
        • Chen-Shuali C.
        • Zimran E.
        • et al.
        A simplified scoring tool for prediction of readmission in elderly patients hospitalized in internal medicine departments.
        Isr Med Assoc J. 2012; 14: 752-756
        • Braes T.
        • Moons P.
        • Lipkens P.
        • et al.
        Screening for risk of unplanned readmission in older patients admitted to hospital: Predictive accuracy of three instruments.
        Aging Clin Exp Res. 2010; 22: 345-351

      References

        • Collins G.S.
        • Reitsma J.B.
        • Altman D.G.
        • Moons K.G.M.
        Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): the TRIPOD statement.
        BMJ. 2015; 350: g7594
        • Nasir K.
        • Lin Z.
        • Bueno H.
        • et al.
        Is same-hospital readmission rate a good surrogate for all-hospital readmission rate? Med Care.
        mai. 2010; 48: 477-481
        • Collins G.S.
        • Ogundimu E.O.
        • Altman D.G.
        Sample size considerations for the external validation of a multivariable prognostic model: a resampling study.
        Stat Med. 2016; 35: 214-226
        • Vergouwe Y.
        • Steyerberg E.W.
        • Eijkemans M.J.C.
        • Habbema J.D.F.
        Substantial effective sample sizes were required for external validation studies of predictive logistic regression models.
        J Clin Epidemiol. 2005; 58: 475-483
        • van Walraven C.
        • Bennett C.
        • Jennings A.
        • Austin P.C.
        • Forster A.J.
        Proportion of hospital readmissions deemed avoidable: a systematic review.
        CMAJ. 2011; 183: E391-E402
        • Aubert C.E.
        • Folly A.
        • Mancinetti M.
        • Hayoz D.
        • Donzé J.
        Prospective validation and adaptation of the HOSPITAL score to predict high risk of unplanned readmission of medical patients.
        Swiss Med Wkly. 2016; 146: w14335

      Linked Article

      • Erratum
        Journal of the American Medical Directors AssociationVol. 22Issue 2
        • Preview
          The Authors wish to make a correction to their article published in JAMDA ( https://doi.org/10.1016/j.jamda.2019.12.016 ) “External Validation and Comparison of Early Readmission’s Risk Scores in Older Adults: Prospective Observational Study”.
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