{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:45:49Z","timestamp":1791945949541,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Virology"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Identifying preventable readmissions for healthcare systems facing significant financial strain from rehospitalizations is crucial. The Hospital score, recognized for its predictive power in diverse settings, has yet to be extensively validated in low\u2010income countries, particularly amid the challenges posed by the COVID\u201019 pandemic. This study validates the Hospital score for predicting 30\u2010day readmission in a tertiary private hospital in Southern Brazil, assessing its efficacy in a middle\u2010income country context. We retrospectively analyzed adult medical discharges from Hospital Moinhos de Vento between January 2019 and December 2023. The study focus was evaluating the Hospital score's accuracy in forecasting 30\u2010day readmissions, including a specific assessment of its performance among COVID\u201019 patients during the pandemic years. Data extraction from electronic health records facilitated a comprehensive analysis of score variables and patient outcomes. Among 69\u2009971 discharges, 2890 patients were readmitted within 30 days, marking a 4.3% readmission rate. The Hospital score demonstrated consistent predictive accuracy, with an overall score accuracy of 0.70 (95% CI: 0.66\u20130.73;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.01) and 0.72 (95% CI: 0.64\u20130.75;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.01) among COVID\u201019 patients. Notably, the pandemic did not significantly impact the score's predictive validity. The Hospital score remains a reliable predictor of 30\u2010day readmissions in a tertiary hospital within a middle\u2010income country, retaining its effectiveness amidst the COVID\u201019 pandemic. These findings underscore the score's potential as a universal tool for reducing preventable readmissions, highlighting its relevance across healthcare contexts.\n                  <\/jats:p>","DOI":"10.1002\/jmv.70693","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T06:14:41Z","timestamp":1762755281000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["COVID\u201019 and the Prediction of 30\u2010Day Hospital Readmissions: A Brazilian Retrospective Cohort Study Applying the Hospital Score Before and After the Pandemic"],"prefix":"10.1002","volume":"97","author":[{"given":"Jonas Michel","family":"Wolf","sequence":"first","affiliation":[{"name":"Escrit\u00f3rio de gest\u00e3o da pr\u00e1tica cl\u00ednica Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Pille","sequence":"additional","affiliation":[{"name":"Escrit\u00f3rio de gest\u00e3o da pr\u00e1tica cl\u00ednica Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana","family":"Kunde","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de medicina interna Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Clara Formolo","family":"de Souza","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de medicina interna Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Ricardo Mottin","family":"Rosa","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de medicina interna Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassiano","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de medicina interna Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju\u00e7ara Gasparetto","family":"Maccari","sequence":"additional","affiliation":[{"name":"Gerente m\u00e9dica Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Ant\u00f4nio","family":"Nasi","sequence":"additional","affiliation":[{"name":"Superintendente m\u00e9dico Hospital Moinhos de Vento Porto Alegre Rio Grande do Sul Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1515"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/QMH.0000000000000253"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.7861\/futurehosp.6-2-114"},{"issue":"3","key":"e_1_2_11_6_1","first-page":"147","article-title":"Reinterna\u00e7\u00e3o Hospitalar Precoce: Avalia\u00e7\u00e3o De Um Indicador De Qualidade Assistencial","volume":"28","author":"Borges F. K.","year":"2008","journal-title":"Clin Biomed Res"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.101860"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h4244"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.1608"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.8462"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2016-006239"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000665"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12656"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcv130"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17030927"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12108"}],"container-title":["Journal of Medical Virology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmv.70693","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jmv.70693","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmv.70693","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:18:13Z","timestamp":1791944293000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jmv.70693"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":15,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/jmv.70693"],"URL":"https:\/\/doi.org\/10.1002\/jmv.70693","archive":["Portico"],"relation":{},"ISSN":["0146-6615","1096-9071"],"issn-type":[{"value":"0146-6615","type":"print"},{"value":"1096-9071","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70693"}}