Table 2.
Extended Cox regression analysis estimating the hazard associated with homelessnessa for readmission to a large urban hospital in Vancouver, British Columbia, 2016–2020 (n = 3,907)
| Follow-up time | Homeless status | Total events | Total PDs | Incidence per PY | 
Unadjusted HRb (95% CIc)  | 
Adjusted HRd (95% CI)  | 
|---|---|---|---|---|---|---|
| ≤ 30 days | 
 No Yes  | 
 340 149  | 
 91,713 19,500  | 
 1.35 2.79  | 
 Reference 2.05 (1.67, 2.53)  | 
 Reference 2.04 (1.65, 2.51)  | 
| 31–90 days | 
 No Yes  | 
 237 85  | 
 181,213 39,188  | 
 0.48 0.79  | 
 Reference 1.66 (1.25, 2.21)  | 
 Reference 1.65 (1.24, 2.19)  | 
| 91–365 days | 
 No Yes  | 
 504 179  | 
 756,492 170,294  | 
 0.24 0.38  | 
 Reference 1.58 (1.28, 1.95)  | 
 Reference 1.56 (1.26, 1.94)  | 
| Overall | 
 No Yes  | 
 1,081 413  | 
 1,029,418 228,982  | 
 0.38 0.66  | 
CI Confidence Interval, HR Hazard Ratio, PDs Person-Days, PY Person-Year
aHomelessness was used as time-varying covariate
bThis cox model includes homelessness and the interaction terms with time (at 30 & 90 days)
c95% CIs and both unadjusted and adjusted hazard ratios were estimated using Robust Standard Errors
dThe multivariable Cox model was controlled for age at index visit (continuous measure), gender (men, women & unknown/other); length of stay at index visit (continuous measure), substance use disorder (no vs. yes) as reason of stay at index visit and severe mental illness (either schizophrenia or bipolar disorder) (no vs. yes) as reason of stay at index visit