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Supplement
Supplementary Table 1. Logistic regression model for association between baseline
sociodemographic/ clinical features and 30-day psychiatric readmission, training data set
Supplementary Table 2. Topics identified in 75-topic model, with manual annotation
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Supplementary Table 1. Logistic regression model for association between
baseline sociodemographic/ clinical features and 30-day psychiatric
readmission, training data set
Variable
Age
Gender (male)
Insurance (public)
Charlson score
Odds Ratio
0.05
5.40
1.41
1.41
95% CI
(0.03 – 0.07)
(2.89 – 10.10)
(1.11 – 1.77)
(1.10 – 1.82)
P Value
<0.001
<0.001
0.004
0.008
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Supplementary Table 2. Topics identified in 75-topic model, with manual
annotation
Terms
Topic Annotation
*impression reported evidence likely final culture seen t report
blood type view consistent single multiple moderate fluid lateral
recommended thoracic
pneumonia
*patient alcohol withdrawal depression drinking end ativan etoh
drinks medications clinic inpatient diagnosis days hospital <substance use
treatment program name> use abuse problem number
alcohol
*mg daily discharge anxiety klonopin seroquel clonazepam admission
wellbutrin given md lexapro date b signed night low admitted sustained
hospitalization
anxiety
*iv qh mcg patch home gi admission given status course continue ml
levothyroxine attending b services doses prescription dilaudid admitted
pain
*mg bid prn po asthma albuterol inhaler inh prednisone qid qh dose
fluticasone tid x days nebulizer taper advair wheezing
respiratory
*ideation suicidal mood decreased hallucinations history depressed
depression thought psychiatric energy denied sleep auditory appetite
homicidal symptoms increased speech thoughts
suicidality
*blood count showed room white pressure emergency hematocrit
history hospital massachusetts examination rate laboratory intravenous
xray temperature data general cell
infection
*denies loss normal weight hearing depression diarrhea outpatient
intact swelling problems review recent ago clear neuro systems wheezing
family gain
?
*ect depression treatment treatments dr mg course <ECT physician
name> symptoms received medications prior improved decreased
medication md trials tsh continued qhs
ECT
*care hours medication doctor needed new getting time make worse times
days signs bowel use constipation help area skin visit
GI
*pt hx w ho yo psych pts meds depression hpi x ed si home outpt sxs note
fu increased med
?
*po mg qd bid qhs qam qpm medications acid trazodone atenolol
lipitor hypertension prilosec hydrochlorothiazide doses hyperlipidemia
mcg regimen slow
primary
care/comorbidity
*history examination status revealed past post principal diagnosis
physical date old admitted depression present clear year admission
medical illness unsigned
?
*discharge md dr followup mgh medications number treatment signed
date office reason electronically admitted m cc diagnoses floor report
general
discharge planning
4
*chest tube stable remained aspiration continued cc air given ct
started xray placed placement pleural required obtained effusion
pneumothorax floor
chest tube
*time days episodes sleep admission work mother months having
started week generalized decreased help good month medication vision
called like
?
*weight eating admission discharge hospital intake loss date
hospitalization day dr week physical months prozac food increased md did
anorexia
anorexia
*cancer history breast biopsy resection nausea diagnosis allergies
md prn prostate tumor underwent chemotherapy cc cholecystectomy past
summary date lymph
cancer
*seizure seizures intact eeg neurology normal temporal dilantin
head bilaterally events activity weakness sensation disorder tongue
neurologist brain loss tegretol
seizure
*therapist mother program father disorder age school parents
brother abuse treatment relationship outpatient college behavior partial
plan currently group personality
psychotherapy
*patient patients dr hospital discharge discharged appointment home
hospitalization care pm medications good partial <outpatient clinic>
followed primary active stay disposition
follow-up
*discharge admission md history did allergies signed date report
course significant summary felt medications admitted cc prior reportend
unit diagnosis
?
*psychiatry suicide overdose attempt transferred depression
transfer level tylenol hospital service unit normal floor screen tox
room admission medical general
overdose
*discharge care admission team results available phone home contact
womens street pending information ma hospital nurse electronically
inpatient physician signed
discharge plan
*care primary physician psychiatric service hospital home admission acute
medical medications issues morning continued sleep evaluation inpatient
initially signs stable
outpatient follow-up
*baby delivery bleeding vaginal breast feeding cesarean weight
ibuprofen maternal newborn available p fever pregnancy sex estimated
danger gp
postpartum
*history discharge admission md status medications hospital date
home course medical yearold number nortriptyline woman exam report
reportend illness summary
?
*service chronic renal failure iron fibrillation medical rehabilitation showed
consult evaluation consultation transferred ulcer recommended medicine
acute digoxin bowel colonoscopy
GI bleed
5
*lesions skin difficulty musculoskeletal rash normal chills nausea
md joint chest changes neck general range strength signed constitutional
dysuria wheezes
systemic ROS
*mood si symptoms thoughts depressed contact cooperative linear
poor safety hi pm legal sleep fair psychiatrist rate worsening qhs
speech
psychiatric ROS
*left normal valve right aortic mm evidence mitral wall systolic
atrial aneurysm mild inferior tricuspid trace size motion regurgitation
dilated
cardiac disease
*infection days urine urinary abdominal bowel antibiotics cultures
culture tract levofloxacin blood diarrhea course abdomen disease
infectious tenderness catheter fevers
UTI
*patient history hospital admission approximately past prior time
years positive significant center secondary denied general drug
examination signs male ago
?
*discharge history able medications status report hospital stroke
minutes number following prior walk cerebral unremarkable pronator risk
appropriately voice summary
stroke
*mri evidence brain acute ms ct head changes mass t hemorrhage
intracranial frontal impression csf anterior mild lesion degrees
neurology
stroke
*potassium chloride sodium bun creatinine discharge glucose calcium
magnesium recent condition qd albumin admission date allergies cc
summary dioxide wbc
laboratory
studies/electrolytes
*patient oral time order dressing follow site care md symptoms
emergency report pulse signs status complete department signed
discharged intact
?
*right left pain fracture knee hip leg physical surgery spine
shoulder ankle hand fall l tolerated extremity service orthopedic joint
orthopedic
*suicidal suicide psychiatric ideation attempt prior disorder
mother boston boyfriend life plan states friend suicidality ms job
stated child father
suicide
*dr felt time did unit follow seen secondary report admission
<clinic site> clinic approximately following showed decided significantly
benign mild morning
?
*negative ua urine wbc protein urine gastric globulin ast blood
specific albumin total chloride creatinine gravity ph clear potassium
nitrites screen
laboratory studies
*mouth pm day change medication bwh brigham result hospital new signs
hospitalization <clinic site> instructions appointment telephone clinician
lab labs role
follow-up
*negative positive normal fluid iv gi abdominal plasma mgdl result
seen improved resolved acid panel completed clinic likely sent obtained
?
*axis history ii iii v depressive major iv disorder deferred mood
<inpatient MD name> psychiatric past outpatient admission psychiatrist
medication depressed abuse
?
6
*zoloft started dr admission day time improved felt hs follow week
went paxil cc night treated reportend referred described given
antidepressant
*mr medications use methadone taking plan wrist syndrome weeks
consult social having seen mild drugs issues face team prescribed
management
?
*h l bilirubin carbon hct plt total studies dioxide ul glucose alk
phos sgot hgb alt instructions phosphorus sgpt mgh
laboratory studies
*discharge follow admission history prior medications exam x status
recent condition evaluation secondary included slightly possible clear
regular complete including
?
*coumadin pneumonia pulmonary inr chest venous anticoagulation time
obstructive shortness warfarin edema tachycardia started fever s
thrombosis sodium breath admission
anticoagulation
*po patient qday mgs hospital md qhs august follow discharge
september history th january status bid examination discharged february
medications
month of year
*reports denies states past ago does having currently times feeling
current describes night months leave endorses month year voices told
?
*pain abdominal diet discharge nausea vomiting tolerated fever
medications weeks follow tolerating constipation tylenol gastric avoid chills
stool oxycodone ambulating
GI
*md discharge signed date unit number cc summary tr td dd reportend
electronically report <inpatient MD name> status dictating principal
diagnosis david
?
*family mental status able poor speech son eye difficulty thought
agitation unable good affect dementia death improvement medical living
sister
dementia
*history years daughter past family medical old year age home died
social lives children new physical work week living allergies
social history
*normal examination limits status admission history blood white
post count laboratory massachusetts decreased dictating data function
thought tests illness mental
?
*husband depression effexor history years symptoms year married
children son ago depressive past major significant months family
worsening woman xr
social history
*t c s x o p n e medical allergies report ma date recent past u f
status signs drug
?
*date hospital discharge daily <outside hospital> md time home report
number given emergency status record boston doctor topamax hours
street department
?
*artery cardiac disease left coronary aspirin showed stenosis heart
myocardial ventricular stress rate cardiology hypertension
echocardiogram ekg atrial carotid right
cardiac disease
7
*psychotic thought features paranoid psychosis paranoia symptoms
psychiatric dose continued treatment mental cognitive memory
risperidone people th somewhat interview affect
psychosis
*dose discharge pcp labs normal mgh improved stiffness tc started
work chestrespiratory headeyes electronically celexa good cardiovascular
hospitalization unit b
?
*mg bid prn tid neurontin constipation qid ativan therapy physical
continued colace syndrome initially senna changes surgery increased
rehab occasional
constipation
*wife bipolar disorder <outside hospital> lithium mg dr hospital mood
history qhs increased hospitalization level past depressed qam manic
psychiatric medication
bipolar disorder
*patient patients noted time addition continued given evaluation
obtained significant symptoms prior normal recommended december
notable rule limits hospitalization possible
?
*discharge override orders summary diagnosis date order admission prn
qh code amp interaction allergy status admit appointments brief pm used
?
*po mg daily dc hcl tab resume home bedtime potentially medications
scheduled lisinopril release addr sodium shortness taking oxycodone visit
?
*l k bun h cl exam hct datetime address plt hgb ca wbc cre r
providers t gt tbili bp
laboratory studies
*anxiety depression symptoms panic anxious disorder increased qhs
attacks past remeron years started celexa felt feeling psychiatrist ativan
reports xanax
anxiety/panic
*po dose mg prn qd qh tab pm instructions activity l operations
labs findings hcl dex p treat significant sodium
?
*therapy electroconvulsive patient depression treatment dr
treatments mrs did outpatient good hospital course received decreased
parnate wellbutrin felt major massachusetts
ECT
*chest pain negative normal cardiac test st changes ischemia
history palpitations breath catheterization nausea acute v symptoms
episodes mild smoking
cardiac disease
*units diabetes insulin po mg bid sc type qam regular dm scale nph
glucose bypass regimen qpm drop ac sliding
diabetes
*po q day hours status th time post d did patient continued march
started discontinued course april yearold dictation total
?