Table 4.
Multivariable Cox Regression analysis* showing factors associated with readmission within 30 days after discharge for people admitted to the general medical or cardiology services with a principal diagnosis of HF after self-referral to the Emergency Department of the Brigham and Women’s Hospital from 2008-2017. (N=3133)
Characteristic | Hazard Ratio | 95% CI | p-value |
---|---|---|---|
Admission to Cardiology | 0.84 | 0.72, 0.97 | 0.018 |
Race | |||
White | ref | ||
Black | 1.09 | 0.92, 1.29 | 0.31 |
Latinx | 1.14 | 0.91, 1.42 | 0.27 |
Age | |||
<50 | ref | ||
50-75 | 0.61 | 0.49, 0.76 | <.0001 |
>75 | 0.54 | 0.43, 0.69 | <.0001 |
Boston Metro Resident† | 1.09 | 0.88, 1.35 | 0.43 |
Seen in institutional cardiology clinic in last year | 1.27 | 1.09, 1.49 | 0.003 |
Seen by institutional PCP in last year | 1.17 | 1.01, 1.36 | 0.041 |
HFpEF | 0.81 | 0.70, 0.94 | 0.007 |
Comorbidity | |||
Valvular Disease | 1.24 | 1.07, 1.44 | 0.005 |
Psychiatric Disease | 1.15 | 0.96, 1.38 | 0.14 |
Chronic Kidney Disease | 1.36 | 1.15, 1.60 | 0.0003 |
Chronic Liver Disease | 1.11 | 0.80, 1.54 | 0.55 |
Elixhauser Index | 1.01 | 0.99, 1.02 | 0.33 |
Multivariable model includes admission to cardiology, race, age, Boston metro resident, whether the patient was seen in institutional cardiology clinic in last year, whether the patient was seen by institutional PCP in last year, diagnosis of HFpEF, valvular disease, psychiatric disease, chronic kidney disease, chronic liver disease, and Elixhauser Comorbidity Index.
Per US Census Bureau