a scoring system to predict readmission of patients with acute pancreatitis to the hospital within thirty days of discharge：评分系统预测再住院的急性胰腺炎病人到医院出院三十天内.pdfVIP

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2016-03-12 发布于广东
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a scoring system to predict readmission of patients with acute pancreatitis to the hospital within thirty days of discharge：评分系统预测再住院的急性胰腺炎病人到医院出院三十天内.pdf

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a scoring system to predict readmission of patients with acute pancreatitis to the hospital within thirty days of discharge：评分系统预测再住院的急性胰腺炎病人到医院出院三十天内

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2011;9:175–180 A Scoring System to Predict Readmission of Patients With Acute Pancreatitis to the Hospital Within Thirty Days of Discharge TOM L. WHITLOCK, APRIL TIGNOR, EMILY M. WEBSTER, KATHRYN REPAS, DARWIN CONWELL, PETER A. BANKS, and BECHIEN U. WU Division of Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts This article has an accompanying continuing medical education activity on page e18. Learning Objectives—At the end of this activity, the learner should identify the major factors that predict early readmission in acute pancreatitis. BACKGROUND AIMS: Reducing rapid readmission of early readmission. Because AP is a frequent and expensive patients after discharge could improve quality of treatment and health issue in the United States, high rates of early readmission reduce costs. Little is known about clinical predictors of early are likely contributing to excess health care costs.11,12 readmission for acute pancreatitis (AP). We developed a strategy Identifying patients at high risk of early readmission is the to identify and stratify patients with AP at risk for readmission ﬁrst step in improving their care and reducing unnecessary within 30 days of discharge. METHODS: We derived and expenditures. High rates of early readmission in AP and other validated a model in a cohort of patients hospitalized with AP conditions suggest physicians’ ability to stratify patients’ risk of from June 2005–October 2009. Early readmission was deﬁned readmission might be inadequate. This has been borne out in as admission to the hospital or reevaluation