Table 4. Logistic Regression Analysis of the Factors Associated With Discharge to Hospice Among Older Adult Hospitalizations With a Diagnosis of Dementia, 2001 - 2010.
Covariate | Adjusted odds ratio | 95% confidence interval | P |
---|---|---|---|
Age ≥ 80 yearsa | 1.78 | 1.73 - 1.82 | < 0.0001 |
Race/ethnicityb | |||
Black | 0.67 | 0.65 - 0.70 | < 0.0001 |
Hispanic | 0.80 | 0.78 - 0.82 | < 0.0001 |
Other | 0.81 | 0.78 - 0.85 | < 0.0001 |
Health insurancec | |||
No health insurance | 0.86 | 0.79 - 0.94 | 0.0008 |
Medicaid | 0.41 | 0.37 - 0.46 | 0.0001 |
Medicare | 0.68 | 0.66 - 0.70 | < 0.0001 |
Other | 0.68 | 0.59 - 0.78 | 0.0001 |
Chronic comorbidity | |||
Congestive heart failure | 1.35 | 1.32 - 1.38 | < 0.0001 |
Peripheral vascular disease | 1.30 | 1.27 - 1.34 | 0.0001 |
Cerebrovascular disease | 1.17 | 1.14 - 1.20 | < 0.0001 |
Lung disease | 0.90 | 0.87 - 0.92 | < 0.0001 |
Liver disease | 1.12 | 1.05 - 1.20 | 0.0008 |
Diabetes | 0.78 | 0.76 - 0.80 | < 0.0001 |
Renal disease | 1.15 | 1.12 - 1.18 | < 0.0001 |
Malignancy | 3.72 | 3.61 - 3.84 | < 0.0001 |
HIV infectiond | 1.26 | 0.95 - 1.68 | 0.1033 |
Type of organ failure | |||
Respiratory | 2.54 | 2.46 - 2.63 | < 0.0001 |
Cardiovascular | 1.41 | 1.36 - 1.47 | < 0.0001 |
Renal | 2.13 | 2.07 - 2.19 | < 0.0001 |
Hepatic | 1.58 | 1.35 - 1.86 | < 0.0001 |
Hematological | 1.16 | 1.10 - 1.22 | < 0.0001 |
Metabolic | 1.54 | 1.46 - 1.62 | < 0.0001 |
Neurological | 1.52 | 1.48 - 1.57 | < 0.0001 |
Number of failing organse | |||
1 | 2.02 | 1.97 - 2.07 | < 0.0001 |
2 | 3.46 | 3.33 - 3.59 | < 0.0001 |
3 | 4.77 | 4.48 - 5.07 | < 0.0001 |
≥ 4 | 6.18 | 5.61 - 6.82 | < 0.0001 |
Mechanical ventilationf | 1.12 | 1.06 - 1.18 | 0.0001 |
aAge 65 - 79 years was used as referent. bWhite race was used as referent. cCommercial insurance was used as referent. dHuman immunodeficiency virus. eLack of organ failure was used as referent. fModeled with the number of failing organs.