BRASS score and complex discharge: a pilot study

Acta Biomed. 2018 Jan 16;88(4):414-425. doi: 10.23750/abm.v88i4.6191.

Abstract

Aims: A highly functional continuity of patient care, which is linked to the reduction of the risk of long-term hospitalization, above all for 'at-risk' patients. Research into an objective, reliable instrument for redirecting individual results to organizational aims to extend the entire country, is a fundamental step to move from a reactive assistance approach to a pro-active one.

Methods: An observational and descriptive retrospective study was carried out July - November 2014 in two Italian state hospitals, completing the BRASS Index within 48/72 hours of admission.

Results: The study group consisted of 122 inpatients. A correlation presented itself, albeit low (ñ=0.05191), between age and the number of 'revolving door' admissions; a medium correlation (ñ=0.485131) between age and risk band (according to BRASS).

Conclusions: The BRASS Index is straightforward and swift, and can prove a valuable tool in directing nurses' attention to those patients most at risk of prolonged hospitalization.

Keywords: Brass Index, discharge planning, nursing care, continuity of patient care, validation study.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Continuity of Patient Care*
  • Female
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Patient Discharge*
  • Pilot Projects