Using the Rothman index to predict early unplanned surgical intensive care unit readmissions

@article{Piper2014UsingTR,
  title={Using the Rothman index to predict early unplanned surgical intensive care unit readmissions},
  author={Greta L. Piper and Lewis J. Kaplan and Adrian A. Maung and Felix Y. Lui and Kimberly Barre and Kimberly A. Davis},
  journal={Journal of Trauma and Acute Care Surgery},
  year={2014},
  volume={77},
  pages={78–82}
}
BACKGROUND The Rothman index (RI) is a numerical score calculated hourly from 26 data points in the electronic medical record by a commercial software package. Although it is purported to serve as an indicator of change in a patient’s condition, it has not been extensively evaluated in the literature. Our objective was to determine whether the RI can be used to predict early surgical intensive care unit (SICU) readmissions. METHODS This is a single-institution, retrospective 12-month period… 
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Highly Influential Citations
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Background Citations
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Methods Citations
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Results Citations
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33 Citations

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Citation Type

Application of electronic medical record–derived analytics in critical care: Rothman Index predicts mortality and readmissions in surgical intensive care unit patients
TLDR
Surgical ICU patients requiring readmission within 48 hours of transfer have a significantly higher mortality and longer LOS compared to those who do not, and patients requiringReadmission also have significantly lower pretransfer and post-transfer RI scores compared to Those who did not.
Analysis of Rothman Index Data to Predict Postdischarge Adverse Events in a Medical Intensive Care Unit
TLDR
Patients who have an RI < 50 or a very high-risk warning alert have a higher risk of adverse events postdischarge from the ICU, and patients with an RI ≥ 50 were associated with the largest decrease in odds of events.
The Rothman Index: Assessing risk for 30-day readmission in gynecologic oncology service patients
TLDR
Delaying discharge for patients with RI below a designated threshold may reduce gynecologic oncology postoperative readmission rates, and may reduce risk factors including diabetes, smoking, and BMI.
Validity of Pediatric Early Warning Score in Predicting Unplanned Pediatric Intensive Care Unit Readmission
TLDR
PEWS can be utilized as a useful predictive tool regarding predicting unscheduled readmission in PICU and further large-scale studies are needed to determine its benefits in clinical practice.
The Rothman Index as a predictor of postdischarge adverse events after elective spine surgery.
[Readmission to the intensive care unit - epidemiology, prediction and clinical consequences].
TLDR
This review paper analyzes the available literature on epidemiology, prediction and the clinical effects of ICU readmissions in Poland and finds that there are no publications on this subject in the Polish literature.
Rothman Index variability predicts clinical deterioration and rapid response activation.
The Rothman Index Is Associated With Postdischarge Adverse Events After Hip Fracture Surgery in Geriatric Patients
TLDR
The Rothman Index provides an objective method of assessing perioperative risk in the setting of hip fracture surgery in patients older than age 65 years and is more accurate than demographic measures or ASA class.
The Rothman Index Does Not Predict a Successful Extubation in the Neurosurgical Critical Care Unit
TLDR
The Rothman Index does not predict extubation success in patients in an NSICU, and risk factors associated with reintubation were respiratory rate,length of stay, length of intubation, and cuff leak percentage.
A Role for the Early Warning Score in Early Identification of Critical Postoperative Complications
TLDR
Critical postoperative complications can be preceded by rising EWS, and interventional studies are needed to evaluate whether EWS can reduce the severity of postoperatively complications and mortality for surgical patients through early identification and intervention.
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