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Table 2 Multivariable analysis of associations between 30-day readmission and social risk factors in chronic obstructive pulmonary disease, pneumonia, acute myocardial infarction, heart failure, and strokea,b,c

From: Socio-demographic and -economic factors associated with 30-day readmission for conditions targeted by the hospital readmissions reduction program: a population-based study

Characteristic

AECOPD

PNA

AMI

HF

Stroke

aOR (95% CI)

P

aOR (95% CI)

P

aOR (95% CI)

P

aOR (95% CI)

P

aOR (95% CI)

P

Gender

 Male

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

 Female

0.889 (0.885–0.893)

<0.0001

0.906 (0.903–0.910)

<0.0001

1.115 (1.106–1.123)

<0.0001

0.978 (0.973–0.982)

<0.0001

0.935 (0.927–0.944)

<0.0001

Hospital Urban-Rural Designation

 

 Urban

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

 Rural

0.916 (0.910–0.923)

<0.0001

0.915 (0.909–0.920)

<0.0001

1.028 (1.015–1.042)

<0.0001

0.972 (0.965–0.979)

<0.0001

0.944 (0.930–0.958)

<0.0001

Estimated Median Household Income by Zip Code

  ≥ $64,000

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

1.0 (Reference)

 

 $48,000–$63,999

0.996 (0.987–1.004)

0.2847

1.013 (1.007–1.020)

<0.0001

1.001 (0.989–1.013)

0.887

1.018 (1.011–1.026)

<0.0001

1.005 (0.991–1.019)

0.4715

 $38,000–$47,999

1.009 (1.001–1.017)

0.213

1.020 (1.013–1.027)

<0.0001

1.027 (1.016–1.039)

<0.0001

1.032 (1.025–1.039)

<0.0001

1.002 (0.989–1.016)

0.7590

  ≤ $37,999

1.053 (1.045–1.062)

<0.0001

1.066 (1.059–1.073)

<0.0001

1.063 (1.051–1.075)

<0.0001

1.104 (1.096–1.111)

<0.0001

1.045 (1.031–1.059)

<0.0001

C-statistic

0.602 (0.601, 0.603)

<0.0001

0.634 (0.633, 0.635)

<0.0001

0.667 (0.665, 0.668)

<0.0001

0.588 (0.587, 0.589)

<0.0001

0.623 (0.621, 0.625)

<0.0001

  1. a Each estimate is adjusted for all other variables in the model
  2. b Additional covariates in each model: Elixhauser comorbidities score (n = 29); Elixhauser mortality score (n = 29); length of stay (categorical); age (categorical), expected primary payer, number of chronic conditions
  3. c Survey weights applied to give national estimates
  4. Abbreviations: aOR adjusted odds ratio, AECOPD acute exacerbation of chronic obstructive pulmonary disease, PNA pneumonia, AMI acute myocardial infarction, HF heart failure