Utility of Mayo Clinic’s early screen for discharge planning tool for predicting patient length of stay, discharge destination, and readmission risk in an inpatient oncology cohort

Purpose To examine the feasibility of using the Mayo Clinic’s Early Screen for Discharge Planning (ESDP) tool in determining its predictive ability in an inpatient oncology hospital setting for variables including length of stay (LOS), discharge destination, and readmission risk. Methods A prospecti...

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Bibliographic Details
Published in:Supportive care in cancer 2018-11, Vol.26 (11), p.3843-3849
Main Authors: Socwell, Caitlyn P., Bucci, Lucy, Patchell, Sharni, Kotowicz, Erika, Edbrooke, Lara, Pope, Rodney
Format: Article
Language:English
Subjects:
Clinical outcomes
Discharge
Hospital admission and discharge
Hospitalization
Medical research
Medicine
Medicine & Public Health
Nursing
Nursing Research
Oncology
Original Article
Pain Medicine
Patient admissions
Patient care planning
Rehabilitation Medicine
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Summary:Purpose To examine the feasibility of using the Mayo Clinic’s Early Screen for Discharge Planning (ESDP) tool in determining its predictive ability in an inpatient oncology hospital setting for variables including length of stay (LOS), discharge destination, and readmission risk. Methods A prospective observational study was conducted at a metropolitan tertiary cancer centre in Melbourne, Australia. The ESDP score, along with patient outcomes and characteristics, were collected to examine the relationships between positive and negative ESDP scores and patient outcomes. Results A total of 136 participants met inclusion criteria for this study. The proportion with positive ESDP scores was greater in those with unplanned hospital admissions compared with planned admissions (χ 2 (1, n  = 136) = 3.94, p  = 0.047). The ESDP status was not a significant predictor of oncology hospital LOS ( r pb  = 0.116, p  = 0.178); however, the ESDP scores did predict discharge destination (χ 2 (2, n  = 136) = 20.22, p  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-018-4252-8