Table 3.
Hazard ratios (HR) and 95% confidence intervals (CI) for the relationship between neurology care and 30-day cause-specific rehospitalization (N=44,099)
| Neurologist only Generalist only vs.
|
Collaborative care Generalist only vs.
|
Other specialist Generalist only vs.
|
No physician claims Generalist only vs.
|
|||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Clinical Classification System (CCS)* | CCS Level | Frequency (N=44,099) | HR† | 95 % CI | HR† | 95 % CI | HR† | 95 % CI | HR† | 95 % CI |
| Not rehospitalized | n/a | 24,113 | 1.00 | 1.00 | 1.00 | 1.00 | ||||
| Infections and aspiration pneumonitis | 1, 8.1, 9.1, 10.4.1, 12.1, 13.1 | 3,733 | 0.88 | (0.78, 0.999) | 1.00 | (0.91, 1.09) | 0.94 | (0.78, 1.12) | 1.00 | (0.75, 1.34) |
| Heart disease | 7.2 | 3,250 | 1.17 | (1.02, 1.34) | 1.08 | (0.97, 1.20) | 1.08 | (0.90, 1.31) | 0.97 | (0.57, 1.65) |
| Acute cerebrovascular disease | 7.3.1 | 1,849 | 0.98 | (0.84, 1.14) | 0.98 | (0.85, 1.13) | 1.18 | (0.90, 1.54) | 1.21 | (0.81, 1.80) |
| Non-acute cerebrovascular disease | 7.3.2, 7.3.3, 7.3.4, 7.3.6 | 1,397 | 0.99 | (0.79, 1.23) | 1.19 | (1.003, 1.4) | 1.00 | (0.72, 1.39) | 1.27 | (0.71, 2.28) |
| Respiratory disease other than infection/aspiration and circulatory disease other than heart | 7.1, 7.4, 7.5, 8.2, 8.3, 8.5, 8.6, 8.8, 8.9 | 1,611 | 1.02 | (0.84, 1.24) | 1.12 | (0.97, 1.31) | 1.13 | (0.84, 1.51) | 0.79 | (0.43, 1.46) |
| Symptoms, signs, and ill-defined conditions | 17 | 847 | 0.92 | (0.71, 1.19) | 0.96 | (0.77, 1.19) | 1.00 | (0.68, 1.46) | 3.85 | (1.07, 13.89) |
| Injury and poisoning | 16 | 1,405 | 0.95 | (0.78, 1.16) | 1.03 | (0.88, 1.20) | 0.85 | (0.60, 1.21) | 0.80 | (0.42, 1.54) |
| Other | Remaining codes | 5,894 | 1.08 | (0.99, 1.18) | 1.00 | (0.93, 1.07) | 1.04 | (0.91, 1.19) | 1.09 | (0.84, 1.43) |
Category indicates primary diagnosis for first rehospitalization within 30 days of the index admission
Adjusted for age, female, race, Medicaid, % of the census block group aged 25+ with college degrees, % of persons in the census block group below the poverty line, geographic region, prior stroke, cardiac arrhythmias, congestive heart failure, chronic pulmonary disease, uncomplicated diabetes, complicated diabetes, hypertension, fluid and electrolyte disorders, valvular disease, peripheral vascular disorders, hypothyroidism, solid tumor without metastasis, deficiency anemias, depression, dementia, concurrent cardiac events, mechanical ventilation, gastrostomy tube, hemiplegia/hemiparesis, residual neurological deficit, year of index hospitalization, and HMO membership.