Table 3.
Logistic Regression Modeling Association of Standardized Discharge Instruction Implementation and Study Outcomes (N = 34,077)
| Patient characteristics | 30-Day readmission or ED visits (composite outcome) | 30-Day readmission | 30-Day ED visits |
|---|---|---|---|
| Adjusted OR (95% CI) | Adjusted OR (95% CI) | Adjusted OR (95% CI) | |
| Study cohort | |||
| Pre-implementation | Reference | Reference | Reference |
| Post-implementation | 1.04 (0.98–1.10) | 1.08 (1.01–1.16) | 0.98 (0.90–1.07) |
| Age | |||
| <30 | Reference | Reference | Reference |
| 30–39 | 1.00 (0.89–1.12) | 1.18 (1.01–1.38) | 0.86 (0.74–1.00) |
| 40–49 | 0.94 (0.83–1.05) | 1.20 (1.03–1.39) | 0.74 (0.63–0.86) |
| 50–59 | 0.98 (0.88–1.10) | 1.35 (1.17–1.56) | 0.66 (0.56–0.77) |
| 60–69 | 0.85 (0.75–0.95) | 1.26 (1.09–1.46) | 0.51 (0.43–0.60) |
| 70–79 | 0.91 (0.81–1.03) | 1.23 (1.06–1.43) | 0.66 (0.56–0.77) |
| 80+ | 0.99 (0.87–1.13) | 1.30 (1.11–1.52) | 0.71(0.59–0.85) |
| Sex | |||
| Male | Reference | Reference | Reference |
| Female | 0.99 (0.93–1.05) | 0.95 (0.88–1.02) | 1.04 (0.95–1.14) |
| Race | |||
| White | Reference | Reference | Reference |
| Black | 1.34 (1.17–1.53) | 1.18 (1.00–1.39) | 1.70 (1.44–2.02) |
| Hispanic/Latino | 1.24 (1.04–1.46) | 1.07 (0.86–1.32) | 1.35 (1.08–1.69) |
| Other | 0.78 (0.62–0.99) | 0.88 (0.60–1.06) | 0.74 (0.52–1.04) |
| Discharge destination | |||
| Home | Reference | Reference | Reference |
| Acute rehab hospital | 0.82 (0.69–0.98) | 0.91 (0.74–1.11) | 0.69 (0.51–0.92) |
| Skilled nursing facility | 1.35 (1.20–1.51) | 1.47 (1.29–1.67) | 1.17 (0.97–1.40) |
| Other | 0.72 (0.62–0.83) | 0.86 (0.73–1.01) | 0.51 (0.39–0.67) |
| Severity weighting | |||
| 1st Decile (lowest severity) | Reference | Reference | Reference |
| 2nd Decile | 1.48 (1.27–1.71) | 1.17 (0.96–1.41) | 1.93 (1.57–2.36) |
| 3rd Decile | 1.47 (1.26–1.70) | 1.14 (0.94–1.38) | 2.00 (1.63–2.45) |
| 4th Decile | 1.65 (1.41–1.92) | 1.43 (1.19–1.73) | 2.00 (1.61–2.47) |
| 5th Decile | 1.95 (1.68–2.26) | 1.79 (1.49–2.15) | 2.11 (1.70–2.61) |
| 6th Decile | 1.76 (1.51–2.04) | 1.63 (1.36–1.97) | 1.77 (1.42–2.20) |
| 7th Decile | 1.76 (1.51–2.04) | 1.65 (1.37–1.98) | 1.81 (1.46–2.25) |
| 8th Decile | 1.47 (1.26–1.72) | 1.36 (1.12–1.65) | 1.58 (1.26–1.99) |
| 9th Decile | 1.86 (1.60–2.17) | 1.89 (1.58–2.28) | 1.66 (1.32–2.08) |
| 10th Decile (highest severity) | 2.28 (1.96–2.66) | 2.32 (1.93–2.79) | 1.80 (1.43–2.27) |
| COPD | 1.59 (1.20–2.11) | 1.75 (1.27–2.41) | 0.99 (0.61–1.59) |
| CHF | 1.94 (1.62–2.32) | 2.26 (1.86–2.75) | 1.30 (0.98–1.72) |
| Pneumonia | 1.35 (1.12–1.61) | 1.53 (1.25–1.87) | 0.99 (0.75–1.32) |
| End-stage renal disease | 1.44 (1.13–1.82) | 1.59 (1.23–2.06) | 0.97 (0.65–1.45) |