ArticleThe western journal of emergency medicine2018
A Risk Score to Predict Short-term Outcomes Following Emergency Department Discharge.
Article in The western journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- A real-world feasibility evaluation of LLM-based clinical prediction: emergency department return visit admission across two academic medical centers.Research square · 2026Article
- Outcomes of 72-hour emergency department return visits requiring hospital admission in older adults: a nationally representative analysis.BMC geriatrics · 2026Article
- Incidence, Predictors, and Outcomes of Emergency Surgery Following a Return Visit to the Emergency Department.Journal of the American College of Emergency Physicians open · 2025Article
- Aspiring to clinical significance: Insights from developing and evaluating a machine learning model to predict emergency department return visit admissions.PLOS digital health · 2024Article
- A Scoping Review of Emergency Department Discharge Risk Stratification.The western journal of emergency medicine · 2021Article
- National Early Warning Score 2 (NEWS2) and 3-level triage scale as risk predictors in frail older adults in the emergency department.BMC emergency medicine · 2020Observational
- Risk Factors and Causes of Short-Term Mortality after Emergency Department Discharge in Older Patients: Using Nationwide Health Insurance Claims Data.Annals of geriatric medicine and research · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe emergency department (ED) is an inherently high-risk setting. Risk scores can help practitioners understand the risk of ED patients for developing poor outcomes after discharge. Our objective was to develop two risk scores that predict either general inpatient admission or death/intensive care unit (ICU) admission within seven days of ED discharge.
methodsWe conducted a retrospective cohort study of patients age > 65 years using clinical data from a regional, integrated health system for years 2009-2010 to create risk scores to predict two outcomes, a general inpatient admission or death/ICU admission. We used logistic regression to predict the two outcomes based on age, body mass index, vital signs, Charlson comorbidity index (CCI), ED length of stay (LOS), and prior inpatient admission.
resultsOf 104,025 ED visit discharges, 4,638 (4.5%) experienced a general inpatient admission and 531 (0.5%) death or ICU admission within seven days of discharge. Risk factors with the greatest point value for either outcome were high CCI score and a prolonged ED LOS. The C-statistic was 0.68 and 0.76 for the two models.
conclusionRisk scores were successfully created for both outcomes from an integrated health system, inpatient admission or death/ICU admission. Patients who accrued the highest number of points and greatest risk present to the ED with a high number of comorbidities and require prolonged ED evaluations.
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