Table 4.
Multivariable logistic regression analysis to determine the independent associations between receipt of recommended postsepsis care elements and reduced 90-day hospital readmission and mortality
| Postsepsis Care Measures | Events/n | Adjusted Odds Ratio (95% Confidence Interval) |
|---|---|---|
| Number of care elements documented | ||
| Zero or one (reference) | 26/40 | — |
| Two | 22/59 | 0.26 (0.10–0.69) |
| Three | 29/70 | 0.28 (0.11–0.72) |
| Four | 5/20 | 0.12 (0.03–0.50) |
| Individual care elements | ||
| Review and adjust medications | ||
| One or more medication management errors (reference) | 40/72 | — |
| No medication management errors | 42/117 | 0.44 (0.21–0.92) |
| Screen for common functional deficits after sepsis | ||
| No assessments documented (reference) | 32/66 | — |
| Physical assessment alone | 36/71 | 0.42 (0.17–1.04) |
| Physical plus swallowing and/or mental health assessment | 14/52 | 0.14 (0.05–0.40) |
| Monitor for common and preventable causes of health deterioration | ||
| Discharge education or timely follow-up not completed (reference) | 46/103 | — |
| Both discharge education and timely follow-up completed | 36/86 | 1.41 (0.68–2.95) |
| Align treatment with patient preferences | ||
| No care alignment process documented (reference) | 43/79 | — |
| Palliative care screen or goals of care documented | 39/110 | 0.52 (0.25–1.05) |