Table 3.
Predictors of All-Cause 30-Day Re-admission According to DERRI™ Plus Hemoglobin A1c and Cholesterol in External Validation Sample
Predictor | Odds ratio (95% CI) | P value |
---|---|---|
Home zip code <5 miles from hospital | 1.06 (1.02–1.11) | .0085 |
Employment status (vs. employed) | ||
Disabled | 1.36 (1.26–1.46) | <.0001 |
Retired | 1.05 (0.99–1.12) | .093 |
Unemployed | 1.35 (1.23–1.49) | <.0001 |
Other or not recorded | 1.03 (0.96–1.10) | .39 |
Pre-admission insulin use | 1.04 (1.00–1.09) | .041 |
Macrovascular complicationsa, n (vs. 0) | ||
1 | 0.91 (0.86–0.96) | .0002 |
2 | 0.99 (0.94–1.04) | .67 |
3 | 1.09 (1.02–1.17) | .016 |
4 | 1.14 (0.99–1.30) | .067 |
Admission hematocrit, per 5% | 0.91 (0.89–0.93) | <.0001 |
Log (admission serum creatinine) | 1.19 (1.15–1.23) | <.0001 |
Admission serum sodium (vs. normal) | ||
Low, <135 mmol/L | 1.11 (1.06–1.15) | <.0001 |
High, >145 mmol/L | 1.25 (1.08–1.45) | .0028 |
Discharged within 90 days before admission | 1.89 (1.80–1.98) | <.0001 |
Most recent discharge status up to 1 year before admission (vs. home) | ||
Against medical advice | 1.23 (0.97–1.56) | .089 |
Home with nursing care | 1.06 (1.00–1.14) | .068 |
No discharge recorded | 0.87 (0.81–0.92) | <.0001 |
Subacute facility | 0.96 (0.89–1.04) | .37 |
Anemia, current or prior diagnosis | 1.12 (1.08–1.17) | <.0001 |
Hemoglobin A1c (vs. 6.5–8.0%) | ||
<6.5% | 1.06 (1.00–1.11) | .04 |
>8.0% | 0.99 (0.94–1.05) | .84 |
Unknown | 1.04 (0.99–1.10) | .14 |
Total cholesterol (vs. 150–200 mg/dL) | ||
<150 mg/dL | 1.07 (1.01–1.12) | .012 |
>200 mg/dL | 1.04 (0.96–1.12) | .35 |
Unknown | 1.00 (0.95–1.05) | .95 |
Abbreviation: DERRI™ = Diabetes Early Re-admission Risk Indicator.
Coronary artery disease, heart failure, stroke, peripheral vascular disease.