Table 4:
Study-level factor | Weighted overall proportion of readmissions deemed avoidable
|
|||||
---|---|---|---|---|---|---|
Unadjusted
|
Adjusted
|
|||||
In studies with factor | In studies without factor | p value | In studies with factor | In studies without factor | p value | |
Used administrative databases | 59.0 | 11.7 | < 0.001 | – | – | – |
Included patients on medical wards† | 59.0 | 20.0 | < 0.001 | – | – | – |
Included surgical patients† | 9.3 | 18.0 | < 0.001 | – | – | – |
Included geriatric patients† | 9.3 | 18.0 | < 0.001 | – | – | – |
> 1 reviewer | 24.6 | 9.3 | < 0.001 | – | – | – |
Limited to specific diagnoses | 34.2 | 10.0 | < 0.001 | 74.0 | 23.1 | < 0.001 |
Only readmissions because of physician factors considered avoidable | 9.5 | 17.9 | < 0.001 | – | – | – |
Publication year ≥ 2000 | 10.5 | 14.1 | < 0.001 | – | – | – |
Follow-up period for readmissions of up to 1 yr after discharge‡ | 9.0 | 20.9 | < 0.001 | 36.8 | 59.4 | < 0.001 |
> 2 sources of information used to determine avoidability of readmissions | 24.6 | 9.6 | < 0.001 | – | – | – |
Mostly teaching hospitals in study | 8.7 | 53.4 | < 0.001 | 20.8 | 76.4 | < 0.001 |
Study from United States | 25.5 | 9.9 | < 0.001 | – | – | – |
Study from United Kingdom or Ireland | 15.6 | 11.4 | < 0.001 | – | – | – |
This table summarizes the results of univariable and multivariable binomial regression models that measured the association of study-level factors with the proportion of readmissions deemed avoidable. With the exception of the first factor (administrative database study), all analyses excluded the three studies that used administrative databases alone.18,27,33
Compared with studies that excluded such patients or that did not specify patient type.
Compared with studies that had a follow-up period of up to 2.5 months after discharge.