Table 1.
Demographics and outcomes of women with 60 day postpartum readmissions
| Readmission hospital | Same hospital as delivery | Different hospital than delivery | P value | ||
|---|---|---|---|---|---|
| N | % | N | % | ||
| Severe maternal morbidity (readmission) | 19,636 | 17.5% | 6,465 | 32.4% | <0.01 |
| Prolonged length of stay | 10,671 | 8.9% | 2,930 | 13.4% | <0.01 |
| High readmission costs | 10,069 | 8.4% | 3,248 | 14.9% | <0.01 |
| Maternal age in years | |||||
| 15–19 years old | 10,519 | 8.8% | 2,034 | 9.3% | <0.01 |
| 20–24 years old | 25,935 | 21.7% | 5,631 | 25.8% | |
| 25–29 years old | 31,235 | 26.1% | 5,760 | 26.4% | |
| 30–34 years old | 29,338 | 24.6% | 4,872 | 22.4% | |
| 35–39 years old | 16,968 | 14.2% | 2,664 | 12.2% | |
| 40–54 years old | 5,492 | 4.6% | 828 | 3.8% | |
| Payer | |||||
| Medicare | 1,433 | 1.2% | 398 | 1.8% | <0.01 |
| Medicaid | 58,616 | 49.1% | 12,325 | 56.6% | |
| Private insurance | 53,992 | 45.2% | 8,096 | 37.2% | |
| Self-pay | 1,501 | 1.3% | 284 | 1.3% | |
| No charge | 64 | 0.1% | 18 | 0.1% | |
| Other | 3,473 | 2.9% | 595 | 2.7% | |
| Missing | 409 | 0.3% | 71 | 0.3% | |
| Median ZIP code income quartile | |||||
| Lowest income quartile | 39,124 | 32.7% | 7,516 | 34.5% | <0.01 |
| 2nd lowest quartile | 29,097 | 24.4% | 5,548 | 25.5% | |
| 2nd highest quartile | 27,802 | 23.3% | 4,779 | 21.9% | |
| Highest income quartile | 22,218 | 18.6% | 3,712 | 17.0% | |
| Delivery postpartum hemorrhage | 6,635 | 5.6% | 1,261 | 5.8% | 0.47 |
| Cesarean delivery | 62,186 | 52.0% | 10,559 | 48.5% | <0.01 |
| Pregestational diabetes | 2,954 | 2.5% | 564 | 2.6% | 0.37 |
| Gestational diabetes | 10,199 | 8.5% | 1,755 | 8.1% | <0.01 |
| Systemic lupus erythematosus | 455 | 0.4% | 129 | 0.6% | 0.01 |
| Multiple gestation | 4,909 | 4.1% | 739 | 3.4% | <0.01 |
| Asthma | 7,213 | 6.0% | 1,276 | 5.9% | 0.58 |
| Chronic kidney disease | 887 | 0.7% | 243 | 1.1% | <0.01 |
| Hypertensive diseases of pregnancy | 25,519 | 21.4% | 3,873 | 17.8% | <0.01 |
| Chronic hypertension | 5,596 | 4.7% | 885 | 4.1% | <0.01 |
| Hospital bed size | |||||
| Small | 11,096 | 9.3% | 2,646 | 12.2% | <0.01 |
| Medium | 30,206 | 25.3% | 5,825 | 26.7% | |
| Large | 78,186 | 65.4% | 13,316 | 61.1% | |
| Hospital teaching status | |||||
| Metropolitan non-teaching | 38,869 | 32.5% | 7,879 | 36.2% | <0.01 |
| Metropolitan teaching | 68,496 | 57.3% | 11,682 | 53.6% | |
| Non-metropolitan | 12,123 | 10.2% | 2,227 | 10.2% | |
Hypertensive disease of pregnancy include gestational hypertension and preeclampsia diagnoses.