Table 3.
Proportional hazards analysis of first adverse events by deficit accumulation index (DAI),* N=1851
Any adverse event (repeat outpatient ED visit, hospital admission, nursing home admission or death) | ||||||
---|---|---|---|---|---|---|
Model 1* | Model 2& | Model 3$ | ||||
Unadjusted HR (95% CI) |
P-value | Adjusted HR (95% CI) |
P-value | Adjusted HR (95% CI) |
P-value | |
DAI quartile 1 (lowest) | reference | reference | reference | |||
DAI quartile 2 | 1.23 (0.93, 1.64) | .15 | 1.22 (0.92, 1.62) | .17 | 1.20 (0.91,1.60) | .19 |
DAI quartile 3 | 1.43 (1.10, 1.87) | .008 | 1.40 (1.07, 1.83) | .014 | 1.33 (1.02, 1.77) | .036 |
DAI quartile 4 | 1.76 (1.31, 2.36) | <.0001 | 1.66 (1.21, 2.27) | .002 | 1.44 (1.06, 1.96) | .019 |
| ||||||
Repeat outpatient ED visit | ||||||
Model 1* | Model 2& | Model 3$ | ||||
Unadjusted HR (95% CI) |
P-value |
Adjusted HR (95% CI) |
P-value |
Adjusted HR (95% CI) |
P-value | |
|
||||||
DAI quartile 1 (lowest) | reference | reference | reference | |||
DAI quartile 2 | .97 (.65, 1.49) | .87 | .95 (.63, 1.40) | .78 | .93 (.62, 1.39) | .73 |
DAI quartile 3 | 1.16 (.81, 1.63) | .41 | 1.13 (.76, 1.68) | .52 | 1.10 (.74, 1.64) | .63 |
DAI quartile 4 | 1.31 (.91, 1.85) | .14 | 1.21 (.84, 1.74) | .31 | 1.06 (.73, 1.54) | .76 |
| ||||||
Hospitalization, nursing home admission or death | ||||||
Model 1* | Model 2& | Model 3$ | ||||
|
||||||
Unadjusted HR (95% CI) |
P-value |
Adjusted HR (95% CI) |
P-value |
Adjusted HR (95% CI) |
P-value | |
|
||||||
DAI quartile 1 (lowest) | reference | reference | reference | |||
DAI quartile 2 | 1.45 (.97, 2.16) | .07 | 1.47 (.99, 2.18) | .057 | 1.45 (.98, 2.16) | .066 |
DAI quartile 3 | 1.66 (1.11, 2.48) | .013 | 1.66 (1.11, 2.49) | .013 | 1.55 (1.04, 2.33) | .033 |
DAI quartile 4 | 2.42 (1.63, 3.59) | <.0001 | 2.35 (1.52, 3.61) | <.0001 | 1.98 (1.29, 3.05) | .002 |
Model 1 - unadjusted
Model 2 - adjusted for age, sex, race, income, living alone, insurance status
Model 3 - adjusted for age, sex, race, income, living alone, insurance status, previous ED visits, previous hospitalizations
DAI=Deficit Accumulation Index
The quartile cutpoints for the DAI scores (expressed as a proportion: deficits present/possible deficits) were: 0.14, 0.23, and 0.36.