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...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
|
| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2023/8847030 |
| _version_ | 1797647979988910080 |
|---|---|
| author | Meltem Songur Kodik Ozlem Inci Zeynep Dila Çetin Emine Nihal Mete Gokmen Funda Karbek Akarca |
| author_facet | Meltem Songur Kodik Ozlem Inci Zeynep Dila Çetin Emine Nihal Mete Gokmen Funda Karbek Akarca |
| author_sort | Meltem Songur Kodik |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T15:24:33Z |
| format | Article |
| id | doaj.art-bc896f2e2abf447ebc6cf65fb34780a4 |
| institution | Directory Open Access Journal |
| issn | 2090-2859 |
| language | English |
| last_indexed | 2024-03-11T15:24:33Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj.art-bc896f2e2abf447ebc6cf65fb34780a42023-10-28T00:00:01ZengHindawi LimitedEmergency Medicine International2090-28592023-01-01202310.1155/2023/8847030Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency DepartmentMeltem Songur Kodik0Ozlem Inci1Zeynep Dila Çetin2Emine Nihal Mete Gokmen3Funda Karbek Akarca4Ege UniversityEge UniversityEge UniversityEge UniversityEge UniversityThis 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.http://dx.doi.org/10.1155/2023/8847030 |
| spellingShingle | Meltem Songur Kodik Ozlem Inci Zeynep Dila Çetin Emine Nihal Mete Gokmen Funda Karbek Akarca Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department Emergency Medicine International |
| 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 |
| url | http://dx.doi.org/10.1155/2023/8847030 |
| work_keys_str_mv | AT meltemsongurkodik evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT ozleminci evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT zeynepdilacetin evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT eminenihalmetegokmen evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment AT fundakarbekakarca evaluationoftheretrospectivelaceindexinpredictingtheriskofreadmissioninpatientswithhereditaryangioedemainanemergencydepartment |