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Research Letter
June 2016

Predictive Score for 30-Day Readmission or Death in Heart Failure

Author Affiliations
  • 1Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia
  • 2Baker IDI Heart and Diabetes Research Institute, Melbourne, Australia
JAMA Cardiol. 2016;1(3):362-364. doi:10.1001/jamacardio.2016.0220

Readmissions shortly after heart failure (HF) are common, expensive, and usually considered preventable.1 However, despite the use of several interventions, rates of readmission after HF remain stable.2 An effective risk score might permit the targeting of resource-intensive interventions (such as disease-management programs) specifically on high-risk patients. We sought to determine the combination of clinical and nonclinical factors that would have the best discriminatory power in predicting 30-day readmission or death in HF.

We developed a score for likelihood of readmission or death from HF from a prospective Australia-wide study of 430 HF patients (median age 74 years), of which 275 patients (64%) were male, and validated it in a group of 161 HF patients (median age 78 years), of which 89 patients (55%) were male.