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COVID-19 Simplified HOSPITAL Score for Readmission Risk

 

Input
 

Hemoglobin at discharge		g/L g/dL gm/L gm/dL mcg/dL mcg/mL mg% mg/dL mg/mL ng/mL
Active Cancer	No (0)
	Yes (2)
Serum Sodium at Discharge		mEq/L mmol/L
Elective Admit	Yes (0)
	No (1)
Number of admissions in last year		# count index logit none number points score
Length of stay		days weeks

 
Result
 
Important: Inputs must be complete to perform calculation.

 

Simplified HOSPITAL Score		# count index logit none number points score

 

     
 
Include literature references: Yes   No

 

Simplified HOSPITAL Score Interpretation

 

0 to 4 points:	Potentially avoidable readmission unlikely (6.4% chance)
5 to 12 points:	Potentially avoidable readmission likely (17.3% chance)

 

 

 

Notes

• In this calculator, mcg is the abbreviation for micrograms.
• This calculator represents findings from the literature referenced below. It is important to understand that these findings may not be representative of the experience in your local healthcare system.

 
Equations used
 

SimplifiedHOSPITALScore = Hemoglobin at dischargeFactor + ActiveCancer + SodiumFactor + ElectiveAdmit + NumberAdmitsFactor + Length of stayFactor

 

 

Calculation Details and Variables

• HemoglobinFactor is assigned values by this ordered logic:
  • If Hemoglobin at discharge <12 g/dL HemoglobinFactor = 1
  • Else HemoglobinFactor = 0.
• Equation parameters such as Active Cancer, have two or more discrete values that may be used in the calculation. The numbers in the parentheses, e.g. (0), represent the values that will be used.
• SodiumFactor is assigned values by this ordered logic:
  • If Serum Sodium at Discharge <135 mEq/L SodiumFactor = 1
  • Else SodiumFactor = 0.
• NumberAdmitsFactor is assigned values by this ordered logic:
  • If Number of admissions in last year >5 number NumberAdmitsFactor = 5
  • Else if Number of admissions in last year ≥2 number NumberAdmitsFactor = 2
  • Else NumberAdmitsFactor = 0.
• LOSFactor is assigned values by this ordered logic:
  • If Length of stay ≥5 days LOSFactor = 2
  • Else LOSFactor = 0.

 

References

1. Gavin W, Rager J, Russ J, et al. Accuracy of the Simplified HOSPITAL Score in Predicting COVID-19 Readmissions-Exploring Outcomes from a Hospital-at-Home Program. J Healthc Manag. 2021 Nov 23. PubMed ID: 34816806
2. Aubert CE, Schnipper JL, Williams MV, et al. Simplification of the HOSPITAL score for predicting 30-day readmissions. BMJ Qual Saf. 2017 Oct;26(10):799-805. PubMed ID: 28416652

 

Associated Medical Subject Headings [MeSH]
 

80 and over,   Adult,   Aged,   COVID-19,   Female,   Hemoglobins,   Hospitals,   Humans,   International Classification of Diseases,   Male,   Middle Aged,   Neoplasms,   Patient Admission,   Patient Readmission,   Predictive Value of Tests,   Retrospective Studies,   Risk Factors,   SARS-CoV-2,   Sodium

 

Associated Logical Observation Identifiers Names and Codes [LOINC]
 

Parameter	LOINC's and Suggested Units
Hemoglobin	718-7 : g/dL      718-7 : gm/dL      59260-0 : mmol/L
Serum Sodium	2951-2 : mmol/L      2947-0 : mEq/L      32340-2 : mEq/L      39791-9 : mEq/L
LOS	78033-8 : days

 
This material contains content from LOINC® (http://loinc.org). The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2014, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and available at no cost under the license at http://loinc.org/terms-of-use.