READMITS_Score_guideline v.1

READMITS Score for Readmissions in Acute MI.

Maryam Razavi

maryam.razavi@cambio.se

@CambioCDS

To assist clinicians to predict 30-day readmission risk in patients admitted for ST-elevation myocardial infarction.

Use in adult patients (≥18 years old) presenting with acute MI. Note: This calculator is not externally validated, and as such, should be used with caution. READMITS Score variable and assigned points: 1. Renal function: No=0, Yes=6 2. Elevated BNP or NT-proBNP: No=0, Yes=8 3. Age, years: (per decade >18 years) 4. Diabetes mellitus history: No=0, Yes=4 5. Sex: Male=0, Female=2 6. Intervention with timely PCI: No=1, Yes=0 7. sBP <100 mmHg: No=0, Yes=3 Formula: READMITS Score= Addition of the selected points. Interpretations: READMITS Score Risk group 30-day readmission risk ≤13 Extremely low 2% 14-15 Low 8% 16-17 Moderate 9% 18-19 High 17% ≥20 Extremely high 34%

Not to use in patients < 18 years old.

1. Nguyen OK, Makam AN, Clark C, Zhang S, Das SR, Halm EA. Predicting 30-Day Hospital Readmissions in Acute Myocardial Infarction: The AMI "READMITS" (Renal Function, Elevated Brain Natriuretic Peptide, Age, Diabetes Mellitus Nonmale Sex Intervention with Timely Percutaneous Coronary Intervention, and Low Systolic Blood Pressure) Score. J Am Heart Assoc. 2018;7(8).

OBSERVATION.basic_demographic.v1, OBSERVATION.readmits_score.v0