“Readmission within 30-days of hospital discharge has received widespread attention as a
potential healthcare quality indicator. In 2013, the Center for Medicare and Medicaid
Services established the Hospital Readmission Reduction Program (HRRP), a cost-
containment strategy that financially penalizes hospitals with higher than expected 30-day
readmission. Though conditions targeted by the HRRP have been predominately medical, it
is anticipated that readmission after surgical procedures will be used to structure financial
incentives and hospital compensation in the near future.”

“Dehydration is one of the most common reasons for readmission for patients who undergo
ileostomy formation. The DRIP score is the first known risk-stratification tool to predict the
risk of readmission due to dehydration in patients undergoing ileostomy formation. Six
independent variables and one interaction term were predictive of readmission, from which
we derived a 39-point scoring system. Readmission risk was stratified into five categories,
demonstrating the ability of this scoring system to distinguish differences in patient risk
profiles. Utilization of this validated scoring system may provide the impetus for preventive
interventions for identified high-risk patients and could potentially reduce readmissions after
colorectal surgery.”

Chen, Sophia Y et al. “Predicting the Risk of Readmission From Dehydration After Ileostomy Formation: The Dehydration Readmission After Ileostomy Prediction Score.” Diseases of the colon and rectum vol. 61,12 (2018): 1410-1417.