Table 2.
Multivariable Model of Patient Correlates of Discharge to SNF
Covariate | Odds Ratio | 95% CI Lower Limit for OR |
95% CI Upper Limit for OR |
χ2 | P Value |
---|---|---|---|---|---|
Length of stay, per day | 1.12 | 1.11 | 1.13 | 386 | <0.001 |
Age, per 10 –y increase | 1.98 | 1.82 | 2.15 | 260 | <0.001 |
Depression, history of | 2.11 | 1.84 | 2.41 | 120 | <0.001 |
Female | 1.53 | 1.42 | 1.66 | 116 | <0.001 |
Systolic blood pressure, per 10 increase | 0.94 | 0.93 | 0.96 | 58.4 | <0.001 |
CVA/TIA, history of | 1.55 | 1.36 | 1.77 | 44.3 | <0.001 |
Hyperlipidemia, history of | 0.74 | 0.68 | 0.81 | 44.4 | <0.001 |
Anemia, history of | 1.31 | 1.18 | 1.45 | 25.5 | <0.001 |
Diabetes, history of | 1.19 | 1.08 | 1.30 | 13.1 | <0.001 |
Valvular heart disease | 0.72 | 0.60 | 0.86 | 12.9 | <0.001 |
CABG/PCI, history of | 0.80 | 0.70 | 0.92 | 9.40 | 0.002 |
ICD | 0.76 | 0.63 | 0.91 | 8.50 | 0.004 |
BUN, per 5 mg/dL increase | 1.03 | 1.01 | 1.05 | 7.89 | 0.005 |
COPD or asthma, history of | 1.11 | 1.02 | 1.21 | 5.47 | 0.019 |
LVEF <40% | 0.91 | 0.83 | 0.99 | 5.13 | 0.023 |
Prior myocardial infarction | 0.86 | 0.75 | 0.98 | 5.11 | 0.024 |
Peripheral vascular disease, history of | 1.13 | 1.00 | 1.27 | 4.03 | 0.045 |
Sodium, per 10 mEq/L increase | 1.05 | 1.00 | 1.11 | 3.87 | 0.049 |
White race | 1.15 | 1.00 | 1.32 | 3.74 | 0.053 |
Heart rate, per 10 bpm increase | 1.02 | 1.00 | 1.04 | 3.60 | 0.058 |
Dialysis, chronic | 1.27 | 0.84 | 1.91 | 1.27 | 0.26 |
Pacemaker | 1.07 | 0.94 | 1.21 | 1.02 | 0.31 |
HF history: ischemic/CAD | 0.95 | 0.84 | 1.08 | 0.62 | 0.43 |
Serum creatinine, mg/dL | 0.97 | 0.88 | 1.07 | 0.41 | 0.52 |
Smoking | 0.97 | 0.84 | 1.12 | 0.20 | 0.66 |
Hypertension, history of | 1.00 | 0.91 | 1.09 | 0.01 | 0.93 |
Atrial flutter or atrial fibrillation, history of | 1.00 | 0.92 | 1.09 | 0.00 | 0.95 |
SNF indicates skilled nursing facility; CVA/TIA, cerebrovascular accident/transient ischemic attack; LVEF, left ventricular ejection fraction; ICD, implantable cardioverter-defibrillator; CABG/PCI, coronary artery bypass graft surgery/percutaneous coronary intervention; BUN, blood urea nitrogen; COPD, chronic obstructive pulmonary disease; and CAD, coronary artery disease.
Full model of all patient covariates considered. n=14 599 (excludes 860 patients with all laboratory data missing).