patient at risk for re-hospitalisation（PARR）
Patients at Risk of Re-hospitalisation (PARR) case finding toolは、個々の患者の再入院リスクを0-100のスコアで評価するアルゴリズムです。再入院予測の主要な要素は年齢、性別、人種、前の入院、臨床状態です。
PARRで使用される変数は以下の通りです。
Alcohol related diagnoses
Cerebrovascular disease
Chronic obstructive pulmonary disease
Connective tissue disease/rheumatoid arthritis
Developmental disability
Diabetes
Ischaemic heart disease
Peripheral vascular disease
Renal failure
Sickle cell disease
Previous admission for respiratory infection
Number of different treatment specialists seen
Age 65-74, age 75+
Sex
Ethnicity
Previous admission for a reference condition
Number of emergency admissions in previous 90, 180, and 365 days
Number of non-emergency admissions in previous 365 days
Total number of previous emergency admissions in previous three years
Average number of episodes per spell for emergency admissions
Observed:expected ratio for practice style sensitive admissions in ward of residence
Observed:expected ratio for rate of readmissions for hospital of current admission
Diagnostic cost groups/hierarchical condition category
PARRの詳細は以下を参照ください。
Patients at Risk of Re-hospitalisation (PARR) case finding tool
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投稿者: project management issues | 2007年02月05日 20:18