From: Using the LACE index to predict hospital readmissions in congestive heart failure patients
LACE score calculation table | ||
---|---|---|
L-Score | Length of stay (days) | Score |
1 | 1 | |
2 | 2 | |
3 | 3 | |
4-6 | 4 | |
7-13 | 5 | |
14 or more | 7 | |
A-Score | Acuity of Admission | Score |
Yes | 3 | |
No | 0 | |
C-Score | Comorbidities | Score |
If the total score is between 0 and 3, C-score equals to the total score, if the total score is 4 or higher, C-score is 5 | Previous myocardial infarction | +1 |
Cerebrovascular disease | +1 | |
Peripheral vascular disease | +1 | |
Diabetes without complications | +1 | |
Congestive heart failure | +2 | |
Diabetes with end organ damage | +2 | |
Chronic pulmonary disease | +2 | |
Mild liver or renal disease | +2 | |
Any tumor (including lymphoma or leukemia) | +2 | |
Dementia | +3 | |
Connective tissue disease | +3 | |
AIDS | +4 | |
Moderate or severe liver or renal disease | +4 | |
Metastatic solid tumor | +6 | |
TOTAL | ||
E-score | Emergency department visits | Score |
How many times has the patient visited an emergency department in the six months prior to admission (not including the emergency department visit immediately preceding the current admission)? | Score equal to the same number of ED visits if the number of ED visits less than 4. If the number of ED visits more than 4 (including 4), E-score is 4. | |
Total LACE score = L-score + A-score + C-score + E-score 0–4 Low, 5–9 Moderate, > 9 High Risk |