HOSPITAL Score for 30-Day Readmission
Predicts 30-day potentially avoidable hospital readmissions using seven variables available at discharge.
Score interpretation
HOSPITAL 0–4: low risk — 5.8% potentially avoidable 30-day readmission (Donzé 2016).
→ Standard discharge planning; GP follow-up within 7 days; discharge summary
HOSPITAL 5–6: intermediate risk — 12.0% potentially avoidable 30-day readmission.
→ Structured discharge; post-discharge phone call; medication reconciliation; early outpatient appointment
HOSPITAL ≥ 7: high risk — 22.8% potentially avoidable 30-day readmission.
→ Intensive discharge planning; care coordinator; home visit; transition care programme; consider brief observation stay or step-down facility
Interpretation bands for the HOSPITAL Score. Apply clinical judgement and local guidance.
References
- Donzé J, Aujesky D, Williams D, Schnipper JL. Potentially avoidable 30-day hospital readmissions in medical patients: derivation and validation of a prediction model. JAMA Intern Med. 2013;173(8):632-638.
- Donzé JD, Williams MV, Robinson EJ, et al. International validity of the HOSPITAL score to predict 30-day potentially avoidable hospital readmissions. JAMA Intern Med. 2016;176(4):496-502.
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Curated clinical cross-links plus same-class fallbacks.
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- Pre-op Medical Clearance · NICE NG45; ESC 2022
- Secondary Hypertension Workup · NICE NG136; ESH 2023
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.