Table 3.
Probabilities and 95% confidence intervals (CI) for the relationship between bounce-back category and primary diagnosis for first rehospitalization for stroke patients discharged home with home health care (N=1,187)
| One bounce-back, survived 30 days | More than one bounce-back | One bounce-back, died 30 days | ||||||
|---|---|---|---|---|---|---|---|---|
| Clinical Classification System (CCS)* | CCS Level | Frequency(N=1,187) | Prob† | 95 % CI | Prob† | 95 % CI | Prob† | 95 % CI |
| Infections and aspiration pneumonitis | 1, 8.1, 9.1, 10.4.1, 12.1, 13.1 | 214 | 0.21 | [0.1768, 0.2414] | 0.15 | [0.0953, 0.2002] | 0.30 | [0.2022, 0.4066] |
| Heart disease | 7.2 | 66 | 0.16 | [0.1303, 0.1828] | 0.20 | [0.1474, 0.2600] | 0.08 | [0.0161, 0.1526] |
| Acute cerebrovascular disease | 7.3.1 | 52 | 0.10 | [0.0752, 0.1205] | 0.08 | [0.0469, 0.1196] | 0.17 | [0.0725, 0.2670] |
| Non-acute cerebrovascular disease | 7.3.2, 7.3.3, 7.3.4, 7.3.6 | 192 | 0.06 | [0.0424, 0.0801] | 0.05 | [0.0233, 0.0830] | 0.01 | [−0.0114, 0.0344] |
| 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 | 103 | 0.07 | [0.0526, 0.0902] | 0.09 | [0.0567, 0.1313] | 0.09 | [0.0193, 0.1522] |
| Symptoms, signs, and ill-defined conditions | 17 | 81 | 0.04 | [0.0229, 0.0487] | 0.02 | [0.0038, 0.0414] | 0.01 | [−0.0092, 0.0283] |
| Injury and poisoning | 16 | 135 | 0.06 | [0.0470, 0.0823] | 0.07 | [0.0313, 0.1001] | 0.01 | [−0.0113,0.0368] |
| Other | Remaining codes | 344 | 0.30 | [0.2694, 0.3376] | 0.33 | [0.2632, 0.3965] | 0.32 | [0.2101, 0.4337] |
Category indicates primary diagnosis for first rehospitalization within 30 days of the index admission
Adjusted for age, gender, race, Medicaid, HMO membership, % of the census block group aged 25+ with college degrees, % of persons in the census block group below the poverty line, length of index hospital stay, prior hospitalization, 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, other comorbidity count and CMS/HCC score.