Table 2.
Hospital Characteristics and Predictors of DHR vs SHR in New York State, 2005–2009a
| Characteristic | Index Admissions (n = 701 263) |
Bivariate Logistic Regression | Multivariate Logistic Regression | ||
|---|---|---|---|---|---|
| OR (95% CI) | P Value | OR (95% CI) | P Value | ||
| Children’s hospital statusb | |||||
| Nonchildren’s hospital (165 hospitals) | 442 628 (63.1) | 1 [Reference] | NA | 1 [Reference] | NA |
| Children’s hospital (12 hospitals) | 258 635 (36.9) | 0.39 (0.26–0.57) | <.001 | 0.62 (0.38–1.00) | .048 |
| Teaching status | |||||
| Nonteaching hospital (140 hospitals) | 243 550 (34.7) | 1 [Reference] | NA | 1 [Reference] | NA |
| Teaching hospital (37 hospitals) | 457 713 (65.3) | 0.38 (0.26–0.54) | <.001 | 0.74 (0.51–1.06) | .10 |
| Annual hospital pediatric volume, median (IQR)c | 11 760 (6456–20 662) |
0.60 (0.53–0.67) |
<.001 | 0.73 (0.64–0.84) |
<.001 |
| Hospital location | |||||
| Urban (123 hospitals) | 620 678 (88.5) | 1 [Reference] | NA | 1 [Reference] | NA |
| Large rural city or town (24 hospitals) | 23 582 (3.4) | 1.37 (0.97–1.92) | .81 | 0.35 (0.24–0.52) | <.001 |
| Small and isolated small rural town (28 hospitals) | 8371 (1.2) | 1.74 (1.19–2.53) | .02 | 0.36 (0.21–0.64) | <.001 |
| Missing (2 hospitals) | 48 632 (6.9) | NA | NA | NA | NA |
| 30-d Readmission rate, No. (%) | |||||
| AHR | 31 325 (4.5) | NA | NA | NA | NA |
| SHR (86.1% of readmissions) | 26 985 (3.8) | NA | NA | NA | NA |
| DHR (13.9% of readmissions) | 4340 (0.6) | NA | NA | NA | NA |
Abbreviations: AHR, all-hospital readmission; DHR, different-hospital readmission; IQR, interquartile range; NA, not applicable; OR, odds ratio; SHR, same-hospital readmission.
a
Includes 177 hospitals. Unless otherwise indicated, data are given as number (percentage) of admissions.
b
Based on whether a hospital is a member of the Children's Hospital Association.
c
Bivariate and multivariate statistics are calculated as logarithm-transformed annual hospital pediatric volume.