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. 2012 Apr;15(4):438–446. doi: 10.1089/jpm.2011.0345

Table 3.

Hospice Risk-Adjustment Logistic Models: Dependent Variable: Decedent Enrolled in Hospice

Variables Model estimated on admission assessmenta Model estimated on annual assessmenta Model estimated on other full-information assessmenta,b Model estimated on quarterly with imputed information assessmenta
Demographics:
 Female 0.148 0.188 0.147 0.159
 Age in Years 0.076*** 0.055*** −0.016*** −0.057***
 Age Squared −0.096×10−2 −0.033×10−2 0.033×10−2*** 0.077×10−2***
 Age Cubed 0.041×10−4*** 0.001×10−4*** 0.021×10−4*** −0.035×10−4***
 Length of Stay in Years 0.080** −0.019*** 0.121 0.037
 Length of Stay Squared −0.017 −0.283×10−2*** −0.018 −0.008
 African American −0.077 NS NS −0.184c
 Asian or Native American −0.425 −0.440 −0.470 −0.522c
 Hispanic NS NS 0.258 NSc
 No Schooling −0.146 −0.292** −0.197 −0.109c
 8th Grade or Less −0.063 −0.164 −0.172 −0.066c
 Bachelor Degree or Higher 0.017 NS NS NSc
 Not Married NS −0.132 −0.015 −0.111c
Diseases:
 Sum of ADLs (Range 0–64) 0.667×10−2 0.030 0.012 0.022
 Number of Diagnoses (Range 0–43) −0.068 −0.024* −0.083 NA
 Congestive Heart Failure −0.104 −0.114 −0.060 −0.111c
 Dementia 0.099 0.188 0.118 0.088c
 Emphysema or COPD −0.047 NS NS −0.063c
 Cancer 0.700 0.385 0.321 0.444c
 Hip Fracture in Last 180 Days −0.162 NS NS −0.058*
 End-Stage Disease 1.547 2.585 1.462 2.246
 Swallowing Problem −0.098 0.178 −0.029** NSc
 Weight Loss 0.115 0.417 0.075 0.391
 Weight Gain −0.099 NS −0.063 −0.059
 Pressure Ulcer: at Least Stage 3 −0.040** 0.484 NS 0.309
 HIV NS NS NS 0.654*
Treatments:
 Chemotherapy −0.225 NS NS −0.568
 Dialysis −0.433 −0.400 −0.521 NS
 Oxygen Therapy 0.02 0.211 NS 0.172
 Radiation −0.113** NS −0.169* NS
 Suctioning −0.340 NS −0.341 −0.243
 Tracheostomy Care −0.365 −0.683 −0.182* −0.241
 Ventilator/Respirator −0.594 −1.060 −0.635 −1.113
Constant −3.783 −4.081 −0.994 −0.300
N 403,405 77,217 262,788 357,846
C statistic 0.67 0.66 0.66 0.66

Note: Variables included in the initial analysis but excluded from the final model (jointly not significantly different from zero at the 0.2 level): renal failure, hip fracture interacted with dementia.

a

All variables are significant at the 0.001 level unless otherwise noted as follows:

*

Significant at the 0.05 level.

**

Significant at the 0.01 level.

***

Jointly significant at the 0.10 level.

b

Other assessments include significant change of status and significant correction to prior full assessments.

c

Variable was imputed from a prior full-information observation.

NA: In the quarterly assessments, these variables were not recorded and not inputed.

NS: Not significant at the 0.05 level.