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COMPRI—An Instrument to Detect Patients With Complex Care Needs

Results From a European Study

Received March 20, 2000; revised October 10, 2000; accepted October 29, 2000. From From Psychiatric C-L service, Vrije Universiteit Hospital, Amsterdam; Department of Internal Medicine, University Hospital, Groningen, The Netherlands Hospital, Amsterdam; Department of Psychotherapy and Psychosomatic Medicine, Albert Ludwigs University, Freiburg, Germany; Psychosomatic and C-L Psychiatry Service, Hospital Clinico Universitario, Zaragoza, Spain; Department of Psychiatry, Northwestern University Medical School, Chicago, Illinois; Department of Psychiatry, University of Muenster, Muenster, Germany; Department of Medical Informatics, Institute of Cardiology, Budapest, Hungary; Department of Psychiatry, Hospital Fernando Fonseca, Amadora, Portugal; the Research Unit for Functional Disorders, Psychosomatics and C-L Psychiatry, Aarhus University Hospital, Aarhus, Denmark; Department of Psychiatry, University Hospital, Modena, Italy. Address correspondence to Dr. de Jonge, Psychiatrische Consultatieve Dienst, Academisch Ziekenhuis der Vrije Universiteit, Postbus 7057, 1007 MB Amsterdam, The Netherlands. E-mail: p.dejonge{at}azvu.nl

The authors developed a screening instrument to detect patients in need of complex care coordination at admission to a general hospital. On the basis of a series of risk factors for care complexity, the authors constructed a short, care complexity prediction instrument (COMPRI) and assessed its qualities. The COMPRI is an easily administered screening instrument that detects patients at risk for complex care needs for whom care coordination is indicated. COMPRI's predictive power exceeds all currently available case-mix instruments.

Key Words: Length of Stay • Screening Instrument

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