Table 1.
Common Criteria Defining a Sentinel Hospitalization
| Common Criteria | Time Frame | References |
|---|---|---|
| “No” to the ‘surprise’ question: Would you be surprised if the patient died in 12 months? | 1 year | 10, 11 |
| Newly diagnosed metastatic solid cancer | Various | 17 |
| Metastatic solid cancer admitted for uncontrolled symptoms | Various | 17 |
| Progressive CKD with consideration for hemodialysis | 1 year | 17, 18 |
| GOLD Stage IV COPD with frequent exacerbation | Various | 20 |
| NYHA Stage IV CHF with frequent exacerbation | 1 – 2 years | 21 |
| Advanced dementia with frequent UTI, aspiration PNA, and feeding problem | 1 – 2 years | 8 |
| Overall prognosis of high mortality using available indices | 30 days – 1 year | 12, 13, 14 |
| More than 3 admissions in last 6 months | 6 months | 17, 19 |
| Prolonged ICU stay (>7 days) | Weeks | 17, 19 |