Table 4.

Adjusted¹ Odds of Loss of Community Dwelling Status² at 9-months Among Medicare Beneficiaries Age 65 and older who Survived³ Hospitalization for High-Acuity Emergency General Surgery Disease⁴ during the First 3 months of 2015 (N = 2370)

Characteristic	aOR Living in SNF or LTAC5 (95% CI)	aOR Living at Home6 (95% CI)
Age
65–74	Ref	REF
75–84	1.09 (0.79–1.50)	0.92 (0.67–1.26)
85–94	1.42 (0.97–2.07)	0.71 (0.48–1.03)
≥95	2.22 (0.69–7.18)	0.45 (0.14–1.46)
Sex
Male	Ref
Female	1.13 (0.85–1.52)	0.88 (0.66–1.18)
Elixhauser Index
0	Ref
1	1.04 (0.40–2.69)	0.97 (0.37–2.50)
2	1.46 (0.59–3.59)	0.69 (0.28–1.69)
≥3	1.82 (0.77–4.30)	0.55 (0.23–1.31)
Major surgical complications
0	Ref
1	0.80 (0.59–1.08)	1.25 (0.93–1.70)
2	0.81 (0.46–1.42)	1.23 (0.70–2.17)
≥3	3.18 (1.03–9.79)	0.31 (0.10–0.97)
Major systemic complications
0	Ref
1	1.26 (0.93–1.72)	0.79 (0.58–1.08)
2	0.83 (0.52–1.34)	1.20 (0.74–1.94)
≥3	0.60 (0.20–1.75)	1.67 (0.57–4.89)
Discharge Disposition
To home	Ref
To home with services	1.42 (0.88–2.30)	0.70 (0.44–1.14)
To rehabilitation hospital	2.32 (1.22–4.41)	0.43 (0.23–0.82)
To skilled nursing facility	4.15 (2.72–6.31)	0.24 (0.16–0.37)
To long-term acute care facility	5.51 (2.83–10.8)	0.18 (0.09–0.35)
To other acute care hospital	5.49 (2.21–13.6)	0.18 (0.07–0.45)

^1.Adjusted for all variables in Table 2 with p-value of 0.2 or smaller

^2.SNF/LTAC = Living at home (with or without services)

^3.Excludes 418 survivors of index hospitalization who died during the follow-up period

^4.Urgent/Emergent admission Code, emergency general surgery diagnosis of interest (see Supplementary Appendix S1), and operation of interest (see Supplementary Appendix S2) on hospital day #1 or #2.

^5.SNF = skilled nursing facility; LTAC = Long-term acute care facility including a Medicaid facility and intermediate care facilities

^6.Home with or without services; data represents inverse of results presented in column 2