Predicting Unplanned Hospital Admission Among Recipients of Outpatient Parenteral Antimicrobial Therapy

As more patients are transitioned to outpatient parenteral antimicrobial therapy (OPAT), reduced clinical supervision raises the possibility of excess risk for complications (e.g., worsening infection, adverse drug effects, catheter-associated thromboses and infections). While 30-day readmissions are inevitable in some patients receiving OPAT, this metric has been utilized as a measure of healthcare delivery. Predicting and preventing unplanned hospital admissions may improve patient outcomes and reduce healthcare costs. Investigators in the U.K. previously developed a 30-day readmission model based on six parameters in patients receiving OPAT: age, number of hospitalizations in the previous 12 months, Charlson comorbidity score, infection …