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READMITS score for readmissions in acute MI
First-day estimate of 30-day readmission risk after acute myocardial infarction.
READMITS score for readmissions in acute MI
Serum creatinine >2 mg/dL
Elevated BNP (>=50 pg/mL) or NT-proBNP (>=125 pg/mL)
Age
years
History of diabetes mellitus
Female sex
No intervention with timely PCI (within first 24 hours)
Systolic blood pressure <100 mmHg
Complete the fields above to see the result.
When to use
- On the first day of hospitalization for acute myocardial infarction, to flag patients for early targeted readmission-prevention interventions.
Formula
Points: creatinine >2 mg/dL (+6), elevated BNP/NT-proBNP (+8), age (+1 per decade above 18, i.e. floor((age-18)/10)), diabetes mellitus (+4), female sex (+2), no timely PCI within 24 h (+1), systolic BP <100 mmHg (+3). Score <=13 low risk (~2% readmission), >=20 high risk (~34% readmission).
Pearls and pitfalls
- Derived and validated in 826 AMI hospitalizations across 6 north Texas hospitals; not externally validated in other populations.
- Designed so every input is available within the first 24 hours of admission, enabling early targeting of transitional-care resources.