Galen eCalcs - Calculator: LACE Index Scoring Tool
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Description
The LACE index identifies patients that are at risk for readmission or death within thirty days of discharge. It incorporates four parameters (length of stay, acuity of admission, co-morbidities, and ER department visits within the last six months). The LACE score reflects the predicted rate of readmission or death within thirty days of discharge.
Calculator Search/Filter Keywords
At the calculator level, eCalcs comes delivered with default keywords that can be leveraged in the "Search/Filter" field to enable Specialty or System driven calculator searching. The following calculator keywords are delivered by default for the LACE Index Scoring Tool calculator:
Specialties
- Critical Care
- Gerontology
- Internal Medicine
- Rehabilitation Medicine
- Surgery
Systems
- None
Calculator Configuration Options
Preference Name | Valid Range | Description |
---|---|---|
Publishing | Checked / Unchecked | When checked the calculator will display for users on the front end. When unchecked, the calculator WILL NOT display for users on the front end. |
Orderable Item Override | (BLANK) / G-LACE | “(BLANK)” indicates that the global configuration options for Orderable Item will be used. “G-LACE” indicates that the calculator specific value will be used and can display the specific calculator name in the output. |
Show Full Questions in Annotations | True / False | True will enable the display of the full calculator input question text (rather than Q1, Q2, etc.) in the result output annotations. False will disable the display of the full calculator input question text and display the question numbers and answers only in the result output annotations. |
Calculator Inputs
Input | Mapping Type | Description |
---|---|---|
AIDS | Problem | AIDS-defining opportunistic infection or CD4 < 200 |
Any Tumor | Problem | Solid tumors must have been treated within the last 5 years; includes chronic lymphocytic leukemia (CLL) and polycythemia vera (PV) |
Cerebrovascular Disease | Problem | Any previous stroke or transient ischemic attack (TIA) |
Chronic Pulmonary Disease | Problem | Chronic Pulmonary Disease |
Congestive Heart Failure | Problem | Any patient with symptomatic CHF whose symptoms have responded to appropriate medications |
Connective Tissue Disease | Problem | Systemic lupus erythematosus (SLE) polymyositis, mixed connective tissue disease, moderate to sever rheumatoid arthritis, and polymyalgia rheumatica |
Dementia | Problem | Any cognitive deficit |
Diabetes With End Organ Damage | Problem | Diabetes with retinopathy, nephropahty, or neuropathy |
Diabetes Without Complications | Problem | Diabetes with no retinopathy, nephropahty, or neuropathy |
Metastatic Solid Tumor | Problem | Any metastatic tumor |
Mild Liver Or Renal Disease | Problem | Cirrhosis but no portal hypertension (i.e., no varices, no ascites) OR chronic hepatits |
Moderate Or Severe Liver Or Renal Disease | Problem | Cirrhosis with portal hypertension (e.g., ascites or variceal bleeding); Endstage Renal Disease, Hemodialysis, or Peritoneal Dialysis |
Peripheral Vascular Disease | Problem | Intermittent claudication, previous surgery or stenting, gangrene or acute ischemia, untreated abdominal or thoracic aortic aneurysm |
Previous Myocardial Infarction | Problem | Any previous definite or probably myocardial infarction |
Calculator Outputs
Output | Mapping Type | Description |
---|---|---|
Risk of Readmission Score | Result | Risk of readmission score. Less than or equal to four: low; between five and nine: moderate; greater than nine: high. |
References
http://www.besler.com/lace-risk-score/
http://micmrc.org/system/files/LACE_tool%204.23.13.pdf