Table 3.
Performance of pneumonia-specific risk prediction models for 30-day readmission
Study | Model* | Discrimination, C Statistic† | Pseudo R2 | Calibration: Observed Readmission Rate‡ |
|
---|---|---|---|---|---|
Lowest Predicted Risk Group (%) | Highest Predicted Risk Group (%) | ||||
Capelastegui et al., 2009 (11) | Pneumonia related | 0.65 (derivation cohort) | Not reported | 1.2 (tertile)§ | 6.3 (tertile)§ |
Pneumonia unrelated | 0.77 (derivation cohort) | Not reported | 0.6 (sextile)§ | 16.2 (sextile)§ | |
Hebert et al., 2014 (17) | EMR model | Cohort 1: 0.73 | 0.09§ | 6.0 | 36.0 |
Cohort 2: 0.66 | 0.02§ | ||||
Lindenauer et al., 2011 (12) | CMS Pneumonia Administrative Model | Cohort 1: 0.63 | 0.05 | 9 | 31 |
Cohort 2: 0.63 | 0.05 | 8 | 31 | ||
Cohort 3: 0.63 | 0.05 | 8 | 30 | ||
CMS Pneumonia Medical Record Model | 0.59 (derivation cohort) | 0.02 | 10 | 26 | |
Mather et al., 2014 (13) | All cause | 0.67 | 0.13 | 7.5 | 43.0 |
Pneumonia related | 0.56§ | 0.16 | 3.3 | 36.6 | |
Pneumonia unrelated | 0.39§ | 0.11 | 9.1 | 34.0 | |
Modified CMS Pneumonia Medical Record Model | 0.48§ | 0.08 | 4.2 | 35.1 | |
Nagasako et al., 2014 (14) | SES-enriched CMS Pneumonia Administrative Model | 0.72§ | 0.14§ | 3.6§ | 38.7§ |
CMS Pneumonia Administrative Model | 0.72§ | 0.14§ | 3.6§ | 38.6§ | |
O’Brien et al., 2015 (15) | CMS Pneumonia Administrative Model | Cohort 1: 0.63 | Not reported | 10.0 | 31.8 |
Cohort 2: 0.63 | Not reported | 12.0 | 36.7 | ||
Tang et al., 2014 (16) | VA predictor model | 0.61 | 0.03§ | 7.5 (quintile)§ | 21.1 (quintile)§ |
Definition of abbreviations: EMR = electronic medical record; CMS = Centers for Medicare and Medicaid Services; SES = socioeconomic; VA = Veterans Affairs.
All models predicted all-cause 30-day readmission, unless otherwise specified.
Discrimination reported is for predicting 30-day readmission in the validation cohort, unless otherwise specified.
Range of mean observed risk for 30-day readmission is reported by lowest-risk to highest-risk decile, unless otherwise specified.
Data obtained from contacting study author.