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BMJ 2006;333 (12 August), doi:10.1136/bmj.333.7563.0-d
A sensitive and specific method for identifying patients at high risk of readmission to hospital in the next 12 months is freely available to primary care trusts in the NHS in England. Billings and colleagues (p 327) analysed data from hospital episode statistics showing all admissions within NHS trusts in England over five years. Using two 10% samples of the hospital episode statistics, they developed and validated a "patient at risk for re-hospitalisation" (PARR) algorithm which assigns a risk score from 0-100 to individual patients. Key factors predicting readmission included age, sex, ethnicity, prior hospitalisation, and clinical condition.
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