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. Author manuscript; available in PMC: 2019 May 15.
Published in final edited form as: Am J Manag Care. 2011 Jun 1;17(6 Spec No):e215–e223.

Table 2.

Predictors of Repeat Emergency Department Visitsa

Predictor Patients Without a
Repeat ED Visit
(n = 86,521)
Patients With a
Repeat ED Visit
(n = 15,596)
Adjusted Odds Ratio
(95% CI)
(n = 97,323)b
Patient predisposing characteristics
 Age ≥55 y 64.1 62.9 0.96 (0.93, 0.99)
 Female 8.1 1.8 0.94 (0.89, 1.01)
 African American race 18.6 20.9 1.05 (0.99, 1.11)
 Unknown/missing race 28.2 25.4 0.92 (0.88, 0.97)
 Unmarried 54.4 58.3 1.09 (1.05, 1.13)
Enabling resources
 Low income 38.9 41.3 1.04 (0.99, 1.09)
 Homeless 4.9 9.4 1.70 (1.59, 1.82)
 Uninsured 54.7 56.0 1.02 (0.98, 1.06)
Need characteristics
 Comorbidity score, mean (SD)c 0.8 (0.9) 1.0 (1.0) 1.07 (1.05, 1.09)
 50% or more service-connected disability 24.1 24.7 1.06 (1.01, 1.11)
 ED visit in previous 180 days 14.3 23.3 1.66 (1.58, 1.74)
 Hospital admission in previous 180 days 8.6 12.9 1.28 (1.22, 1.35)
 ≥5 primary care provider visits in previous year 30.5 35.0 1.15 (1.10, 1.20)
 Aid and Attendance benefitsd 1.9 2.3 1.08 (0.97, 1.20)
Index ED visit characteristics
 Weekend visit 19.3 21.3 1.15 (1.10, 1.20)
 Discharge diagnosis category
  Injury/acute musculoskeletal 22.5 22.6 1.01 (0.97, 1.05)
  Chronic condition 20.7 20.4 0.96 (0.92, 1.00)
  Non-musculoskeletal symptoms 15.6 15.1 0.97 (0.93, 1.01)
  Infection 13.4 15.4 1.14 (1.09, 1.19)
  Unclassified 27.7 26.4 0.93 (0.90, 0.97)
 Facility l ocation
  Northeast 13.7 13.3 0.96 (0.89, 1.02)
  South 45.7 44.7 0.97 (0.91,1.03)
  Midwest 19.4 19.0 0.99 (0.92, 1.06)
  West 21.2 23.0 1.10 (1.02, 1.17)

CI indicates confidence interval; ED, emergency department.

a

Values are percentages unless indicated otherwise. Facility intraclass correlation coefficient = 0.004; C = 0.58.

b

Model sample size reduced due to case deletions for missing data.

c

According to Diagnostic Cost Groups score.

d

Indicates severe functional impairment.