Many of us have seen the LACE score mentioned in the Hospitalists d/c summaries and now to target ED patients that may be at high risk for post discharge M&M.
The LACE Score was derived by our favorite Canuck, Ian Steill, et al (famed for such clinical prediction rules such as: Ottawa knee and ankle rules and Canadian HCT and C-spine rules).
They found variables independently associated with risk of death or nonelective readmission within 30 days after discharge (see image below from 1st article):
Length of stay (“L”);
Acuity of the admission (“A”) (;
Comorbidity of the patient (measured with the Charlson comorbidity index score) (“C”); (see: http://www.medal.org/OnlineCalculators/ch1/ch1.13/ch1.13.01.php or can be calculated in HealthConnect by typing .READMISSION)
Emergency department use (measured as the number of visits in the six months before admission) (“E”)