Table 2.
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.
Values are percentages unless indicated otherwise. Facility intraclass correlation coefficient = 0.004; C = 0.58.
Model sample size reduced due to case deletions for missing data.
According to Diagnostic Cost Groups score.
Indicates severe functional impairment.