TY - JOUR
T1 - Utility of the LACE Scoring System in Predicting Readmission Following Tracheotomy and Laryngectomy
AU - Ettyreddy, Abhinav R.
AU - Kao, Wee Tin Katherine
AU - Roland, Lauren T.
AU - Rich, Jason T.
AU - Chi, John J.
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - In the current value-based health-care environment, 30-day unplanned hospital readmissions have been identified as a quality measure and an opportunity to help reduce health-care costs. The LACE Index Scoring Tool for Risk Assessment of Death and Readmission utilizes length of stay, acuity of admission, comorbidities, and emergency department visits to stratify patients into high and low risk of readmission. A retrospective chart review of 161 patients who underwent a tracheotomy or laryngectomy for head and neck indications at a tertiary care academic center demonstrated that the readmitted patient cohort was not statistically or clinically different from the nonreadmitted cohort when comparing LACE scores (P =.789), length of hospital stay (P =.237), discharge disposition (P =.569), or insurance status (P =.85). Addressing the problem of unplanned 30-day readmissions will likely require enhanced patient education, improved coordination of care, and further research.
AB - In the current value-based health-care environment, 30-day unplanned hospital readmissions have been identified as a quality measure and an opportunity to help reduce health-care costs. The LACE Index Scoring Tool for Risk Assessment of Death and Readmission utilizes length of stay, acuity of admission, comorbidities, and emergency department visits to stratify patients into high and low risk of readmission. A retrospective chart review of 161 patients who underwent a tracheotomy or laryngectomy for head and neck indications at a tertiary care academic center demonstrated that the readmitted patient cohort was not statistically or clinically different from the nonreadmitted cohort when comparing LACE scores (P =.789), length of hospital stay (P =.237), discharge disposition (P =.569), or insurance status (P =.85). Addressing the problem of unplanned 30-day readmissions will likely require enhanced patient education, improved coordination of care, and further research.
KW - LACE score
KW - free flap
KW - laryngectomy
KW - readmissions
KW - tracheotomy
UR - http://www.scopus.com/inward/record.url?scp=85061602395&partnerID=8YFLogxK
U2 - 10.1177/0145561319827908
DO - 10.1177/0145561319827908
M3 - Review article
C2 - 31056944
AN - SCOPUS:85061602395
SN - 0145-5613
VL - 98
SP - 220
EP - 222
JO - Ear, Nose and Throat Journal
JF - Ear, Nose and Throat Journal
IS - 4
ER -