The LACE + index as a predictor of 90-day urologic surgery outcomes

World Journal of Urology Jan 24, 2020

Glauser G, Winter E, Caplan IF, et al. - Whether LACE + [Length of stay, Acuity of admission, Charlson Comorbidity Index score, and Emergency department visits in the past 6 months] index holds utility as a predictor of adverse consequences following urologic surgery, was determined in this study. For all consecutive patients (n = 9,824) who underwent urologic surgery at one multi-center health system, LACE + scores were retrospectively computed. For patients with different LACE + quartiles, researchers compared outcomes. For Q1 vs Q4 and Q2 vs Q4, readmission within 90 days (90D) of discharge was significantly predicted by higher LACE + score. For Q1 vs Q4, Q2 vs Q4, and Q3 vs Q4, 90D emergency room visits was significantly predicted by increased LACE + score. In addition, 90D reoperation was also significantly predicted by the LACE + score for Q1 vs Q4. Overall, the possible suitability of LACE + was suggested as a prediction model for significant patient results following urologic surgery.
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