{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:20:05Z","timestamp":1772166005480,"version":"3.50.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R24HS022418"],"award-info":[{"award-number":["R24HS022418"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG052603"],"award-info":[{"award-number":["K23AG052603"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K23HL133441"],"award-info":[{"award-number":["K23HL133441"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite focus on preventing 30-day readmissions, early readmissions (within 7\u2009days of discharge) may be more preventable than later readmissions (8\u201330\u2009days). We assessed how well a previously validated 30-day EHR-based readmission prediction model predicts 7-day readmissions and compared differences in strength of predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an observational study on adult hospitalizations from 6 diverse hospitals in North Texas using a 50\u201350 split-sample derivation and validation approach. We re-derived model coefficients for the same predictors as in the original 30-day model to optimize prediction of 7-day readmissions. We then compared the discrimination and calibration of the 7-day model to the 30-day model to assess model performance. To examine the changes in the point estimates between the two models, we evaluated the percent changes in coefficients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 32,922 index hospitalizations among unique patients, 4.4% had a 7-day admission and 12.7% had a 30-day readmission. Our original 30-day model had modestly lower discrimination for predicting 7-day vs. any 30-day readmission (C-statistic of 0.66 vs. 0.69,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001). Our re-derived 7-day model had similar discrimination (C-statistic of 0.66,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.38), but improved calibration. For the re-derived 7-day model, discharge day factors were more predictive of early readmissions, while baseline characteristics were less predictive.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A previously validated 30-day readmission model can also be used as a stopgap to predict 7-day readmissions as model performance did not substantially change. However, strength of predictors differed between the 7-day and 30-day model; characteristics at discharge were more predictive of 7-day readmissions, while baseline characteristics were less predictive. Improvements in predicting early 7-day readmissions will likely require new risk factors proximal to day of discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12911-020-01248-1","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T10:03:53Z","timestamp":1600164233000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Can we predict early 7-day readmissions using a standard 30-day hospital readmission risk prediction model?"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5959-1659","authenticated-orcid":false,"given":"Sameh N.","family":"Saleh","sequence":"first","affiliation":[]},{"given":"Anil N.","family":"Makam","sequence":"additional","affiliation":[]},{"given":"Ethan A.","family":"Halm","sequence":"additional","affiliation":[]},{"given":"Oanh Kieu","family":"Nguyen","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"1248_CR1","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1001\/jamainternmed.2015.7863","volume":"176","author":"AD Auerbach","year":"2016","unstructured":"Auerbach AD, Kripalani S, Vasilevskis EE, Sehgal N, Lindenauer PK, Metlay JP, et al. Preventability and causes of readmissions in a national cohort of general medicine patients. JAMA Intern Med. 2016;176:484\u201393.","journal-title":"JAMA Intern Med"},{"key":"1248_CR2","doi-asserted-by":"publisher","first-page":"1867","DOI":"10.1377\/hlthaff.2016.0205","volume":"35","author":"DL Chin","year":"2016","unstructured":"Chin DL, Bang H, Manickam RN, Romano PS. Rethinking thirty-day hospital readmissions: shorter intervals might be better indicators of quality of care. Health Aff. 2016;35:1867\u201375. https:\/\/doi.org\/10.1377\/hlthaff.2016.0205.","journal-title":"Health Aff"},{"key":"1248_CR3","doi-asserted-by":"publisher","first-page":"741","DOI":"10.7326\/M14-2159","volume":"162","author":"KL Graham","year":"2015","unstructured":"Graham KL, Wilker EH, Howell MD, Davis RB, Marcantonio ER. Differences between early and late readmissions among patients: a cohort study. 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Patient data were deidentified prior to data analysis and no administrative permission were required to access the raw data from patient medical records. Informed consent was waived by Human Research Protection Program (HRPP) institutional review board (IRB) at UT Southwestern Medical Center.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"227"}}