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Multicentre, prospective observational study of the correlation between the Glasgow Admission Prediction Score and adverse outcomes

BMJ Open Aug 15, 2019

Jones D, et al. - Via analyzing prospectively gathered data at triage for 1,420 consecutive adults who presented to emergency departments within sampling times, researchers determined whether the Glasgow Admission Prediction Score (GAPS) was related to hospital length of stay, 6-month hospital readmission, and 6-month all-cause mortality. About 39.6% of these individuals were initially admitted to the hospital. At 6 months, 30.6% and 5.6% of individuals had been readmitted and had died, respectively. The possibility of being discharged fell by 4.3% per GAPS point rise for those admitted at first presentation. A 9.2% rise in the possibility of a 6-month hospital readmission per point rise in GAPS was noted. A correlation between GAPS and 6-month mortality was exhibited, with a hazard gain of 9.0% for each point rise in GAPS. Hence, greater GAPS was correlated with progressed hospital length of stay, 6-month hospital readmission, and 6-month all-cause mortality. While GAPS’ primary application may be to prognosticate admission and support clinical decision making, GAPS may also offer valuable insight into inpatient resource allocation and bed planning, according to the study authors.

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