Usabilidad y aplicabilidad del índice LACE como herramienta predictiva de reingreso hospitalario precoz y mortalidad: revisión de alcance

This article aims to systematically mapping the scientific production related to the usability and applicability of the LACE score as a predictive tool for early hospital readmission and mortality. This is a scoping review guided by the guidelines proposed by JBI, covering eight databases and grey literature. Twenty-eight publications were included, mostly involving foreign populations, spanning from 2011 to 2023. There was a higher prevalence of retrospective cohort studies, with a level of evidence 3, according to the criteria of the Oxford Center for Evidence-based Medicine. The LACE score was predominantly used as a predictor of readmission and mortality, especially in medical clinic patients. It is concluded that there is a significant gap in This article aims to produce a systematic mapping of scientific production on the usability and applicability of the LACE Index as a tool for predicting early hospital readmission and mortality. This scoping review, framed by JBI guidelines, covered eight databases and the grey literature. Of the twenty-eight publications reviewed, most addressed foreign populations and were published 2011 to 2023. Most were retrospective cohort studies with level of evidence 3by the criteria of the Oxford Center for Evidence-Based Medicine. LACE scoring was used predominantly as a predictor of readmission and mortality, especially of medical patients. There is a significant gap in the literature due to the predominance of retrospective studies and the absence of prospective studies with a high level of evidence, in addition to isolated use of LACE as a tool to predict mortality.