Table 2.
Variable | Hazard Ratio | 95% CI | P value |
---|---|---|---|
Age | 1.00 | 0.96–1.03 | .93 |
CIRS severity index | |||
1.46 to 1.84 | 0.98 | 0.45–1.89 | .838 |
≥ 1.85 | 1.50 | 0.69–3.28 | .300 |
Albumin, mg/dl | 0.64 | 0.38–1.05 | .082 |
Number of drugs at DRAC admission | |||
<4 drugs | Ref. | ||
4 to 6 drugs | 1.59 | 0.64–3.94 | .315 |
≥ 7 drugs | 3.94 | 1.62–9.54 | .002 |
Delta Barthel Index at rehabilitation admissionb | |||
≤ 24 | Ref | ||
25–56 | 1.48 | 0.79–2.75 | .216 |
>56 | 2.67 | 1.35–5.27 | .005 |
Delirium at DRAC admission | 0.77 | 0.40–1.46 | .421 |
MMSE scorec at DRAC admission | 0.97 | 0.94–1.01 | .128 |
Length of stay in the acute hospital | |||
≤ 6 days | Ref. | ||
7–13 days | 1.74 | 0.93–3.25 | .080 |
>13 days | 2.67 | 1.39–5.10 | .003 |
A multivariable Cox proportional regression model was used to identify the effect of risk factors evaluated at the time of DRAC admission on the time to unplanned readmission to the acute hospital within a 30-day follow-up. All the risk factors were first entered in the model as continuous variables, except for delirium at DRAC admission. The variables found to be statistically associated with a higher risk of hospital re-admission (p<0.05) were then categorized in tertiles, according to their distribution, to provide clinicians with actionable thresholds that could be applied in daily practice.
Delta Barthel index was calculated as the difference of Barthel Index pre-admission (i.e., Barthel index a month before the index acute hospital admission) and the Barthel Index at rehabilitation admission.
Mini Mental State Examination, MMSE