Hospital discharge: results from an Italian multicenter prospective study using Blaylock Risk Assessment Screening Score

Int J Nurs Knowl. 2014 Feb;25(1):14-21. doi: 10.1111/2047-3095.12016. Epub 2013 Dec 3.

Abstract

Purpose: To analyze the predictive validity and reliability of the Blaylock Risk Assessment Screening Score (BRASS) Index in a large group of patients.

Methods: Prospective multicenter observational study was conducted in six Italian hospitals. Data were collected in three phases.

Findings: Seven hundred eleven patients were recruited. The mean length of hospitalization for low-risk patients was significantly shorter than those in the medium and high-risk groups. Patients with a BRASS Index lower than 10, unlike those with a higher BRASS Index, were mainly discharged home.

Conclusions: Our results indicate that the BRASS Index is useful to identify patients at risk for prolonged hospitalization.

Clinical relevance: The use of a validated BRASS instrument can be useful to screen the patients, improving individual discharge planning.

Keywords: BRASS Index; discharge planning; nursing care; validation study.

Publication types

  • Multicenter Study
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Female
  • Hospital Administration*
  • Humans
  • Infant
  • Infant, Newborn
  • Italy
  • Male
  • Middle Aged
  • Patient Discharge*
  • Prospective Studies
  • Risk Assessment
  • Young Adult