Cargando…
Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department
This study aimed to calculate the LACE index in patients who admitted to the emergency department (ED) with hereditary angioedema (HA) diagnosed and to predict recurrent admissions of patients. In this single-center study, patients aged 18 or higher who were admitted to the ED diagnosed with HA were...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10611537/ https://www.ncbi.nlm.nih.gov/pubmed/37900718 http://dx.doi.org/10.1155/2023/8847030 |
_version_ | 1785128511115100160 |
---|---|
author | Songur Kodik, Meltem Inci, Ozlem Çetin, Zeynep Dila Mete Gokmen, Emine Nihal Karbek Akarca, Funda |
author_facet | Songur Kodik, Meltem Inci, Ozlem Çetin, Zeynep Dila Mete Gokmen, Emine Nihal Karbek Akarca, Funda |
author_sort | Songur Kodik, Meltem |
collection | PubMed |
description | This study aimed to calculate the LACE index in patients who admitted to the emergency department (ED) with hereditary angioedema (HA) diagnosed and to predict recurrent admissions of patients. In this single-center study, patients aged 18 or higher who were admitted to the ED diagnosed with HA were included over a 12-year period. 35 patients diagnosed with code E88.0 were evaluated according to electronic file records. The number of admissions to the ED in the last 6 months was 2. The LACE index was 4, and risk was 71.4%. The patients admitted to the hospital in the last 30 days had a higher rate of admission to the hospital in the last 6 months (p < 0.001). The LACE index at admission predicted 30 days admission with (AUC = 0.75, 95% CI (0.56–0.91)) acceptable discrimination. The LACE index and the number of admissions in the last 6 months included in the evaluation can be considered predictive in recurrent ED admissions of HA patients. However, the distribution of LACE-risk groups is no priority. Therefore, the low-, medium-, or high-risk level of LACE index values should be not taken into consideration in readmission of such patients. |
format | Online Article Text |
id | pubmed-10611537 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-106115372023-10-28 Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department Songur Kodik, Meltem Inci, Ozlem Çetin, Zeynep Dila Mete Gokmen, Emine Nihal Karbek Akarca, Funda Emerg Med Int Research Article This study aimed to calculate the LACE index in patients who admitted to the emergency department (ED) with hereditary angioedema (HA) diagnosed and to predict recurrent admissions of patients. In this single-center study, patients aged 18 or higher who were admitted to the ED diagnosed with HA were included over a 12-year period. 35 patients diagnosed with code E88.0 were evaluated according to electronic file records. The number of admissions to the ED in the last 6 months was 2. The LACE index was 4, and risk was 71.4%. The patients admitted to the hospital in the last 30 days had a higher rate of admission to the hospital in the last 6 months (p < 0.001). The LACE index at admission predicted 30 days admission with (AUC = 0.75, 95% CI (0.56–0.91)) acceptable discrimination. The LACE index and the number of admissions in the last 6 months included in the evaluation can be considered predictive in recurrent ED admissions of HA patients. However, the distribution of LACE-risk groups is no priority. Therefore, the low-, medium-, or high-risk level of LACE index values should be not taken into consideration in readmission of such patients. Hindawi 2023-10-20 /pmc/articles/PMC10611537/ /pubmed/37900718 http://dx.doi.org/10.1155/2023/8847030 Text en Copyright © 2023 Meltem Songur Kodik et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Songur Kodik, Meltem Inci, Ozlem Çetin, Zeynep Dila Mete Gokmen, Emine Nihal Karbek Akarca, Funda Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department |
title | Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department |
title_full | Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department |
title_fullStr | Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department |
title_full_unstemmed | Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department |
title_short | Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department |
title_sort | evaluation of the retrospective lace index in predicting the risk of readmission in patients with hereditary angioedema in an emergency department |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10611537/ https://www.ncbi.nlm.nih.gov/pubmed/37900718 http://dx.doi.org/10.1155/2023/8847030 |
work_keys_str_mv | AT songurkodikmeltem evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT inciozlem evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT cetinzeynepdila evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT metegokmeneminenihal evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT karbekakarcafunda evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment |