Readmission Risk Score for

Pneumonia

This readmission calculator is based on a statistical model developed from chart abstracted data. It is intended for use with patients age 65 and older.

Demographics

years

Sex of patient.

Sex

Patient is a resident of a nursing home.

Nursing Home Resident

Presentation

There is documentation that the patient had altered mental status within 24 hours of arrival.

Altered Mental Status

History

Patient has any history of diabetes (excluding diabetes insipidus or gestational diabetes).

Diabetes

Patient has any history of congestive heart failure.

Heart Failure

Patient has any history of coronary artery disease.

Coronary Artery Disease

Patient has any history of chronic lung disease (including such conditions as asthma, COPD, asbestosis, emphysema, chronic bronchitis, or chronic respiratory failure).

Chronic Lung Disease

Patient has any history of liver disease.

Liver Disease

Patient has any history of renal insufficiency or chronic renal disease (including current chronic renal dialysis).

Renal Disease

Patient had spleen removed prior to arrival.

Splenectomy

Patient has any history of dementia / Alzheimer’s disease / chronic confusion / senility.

Dementia

Patient has an active neoplastic disease (other than squamous or basal cell skin cancer) at time of presentation or neoplastic disease has been diagnosed within one year of presentation.

Cancer

Patient has any history of alcohol or drug abuse.

Alcohol/Drug Abuse

Patient is receiving immunosuppressive or antineoplastic therapy.

Immunosuppresant Use

Physical Exam (on admission)

mmHg
beats per min
breaths per min

Diagnostics (on admission)

mmol/L
mg/dL   or mmol/L
mg/dL   or mmol/L
%
mg/dL   or mmol/L
thousand cells/mL

Pleural effusion is indicated on any chest x-ray done within two calendar days prior to arrival or up to two calendar days after arrival.

Pleural Effusion on X-Ray

This readmission calculator is based on a statistical model developed from chart abstracted data from the National Pneumonia (NP) Project and under contracts with the Centers for Medicare and Medicaid Services (CMS). The technical report may be accessed here: QualityNet.org Technical Report. The peer-reviewed methods paper may be accessed here: J Hosp Med 2011;6(3);142-50. Please note that the intercept for the pneumonia model was inadvertently excluded from the documentation. It is -2.10.

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