Rothman index as a predictor for type of discharge and readmission rates in a cancer hospital: The Yale experience.

6635 Background: There is limited data on predictors of discharge (DC) and readmission (RA) for oncology inpatients. The Rothman index (RI) is a single score calculated from 26 parameters including nursing assessments, vital signs, and laboratory tests, integrated with the hospital’s electronic medical record and automatically updated when new data are entered. Scores are inversely related to patient impairment. We evaluated the role of RI in the prediction of DC types and RA rates at the Smilow Cancer Hospital at Yale. Methods: Patients (pts) with solid tumors, length of stay longer than 24 hours, admitted between 6/1/11 and 12/31/11 were enrolled. Elective admissions were excluded. DC types were classified as home without hospice (Hm), nursing home (NH), hospice (Hp) and death (D). The RI at the time of DC was evaluated as a predictor for RA at 7 or 30 days and the type of DC. Analysis of variance (ANOVA) was used to determine whether there were statistically significant differences between RI means and...