Table 2. Association Between Patient and Hospital Characteristics and 30-Day Ambulatory Follow-up Among Medicare Beneficiaries Aged 65 Years and Older Treated and Discharged From the ED From 2011 to 2016a.
Characteristic | HR (95% CI)b |
---|---|
Year of ED visit | 1.00 (0.999-1.001) |
Age, y | 0.997 (0.997-0.997) |
Sex | |
Women | 1 [Reference] |
Men | 0.90 (0.898-0.904) |
Race/ethnicity | |
White | 1 [Reference] |
Black | 0.82 (0.81-0.83) |
Hispanic | 0.96 (0.94-0.98) |
Asian | 1.07 (1.04-1.09) |
North American Native | 0.87 (0.84-0.90) |
Otherc | 1.01 (0.99-1.03) |
Unknown | 1.00 (0.98-1.02) |
Medicaid eligible | |
No | 1 [Reference] |
Yes | 0.77 (0.77-0.78) |
Hospital size, No. of beds | |
Large, ≥400 | 1 [Reference] |
Small, 1-99 | 0.87 (0.85-0.89) |
Medium, 100-399 | 0.99 (0.98-1.01) |
Control type | |
Nonprofit | 1 [Reference] |
For profit | 1.00 (0.99-1.02) |
Government, nonfederal | 0.93 (0.92-0.95) |
Teaching status | |
Major | 1 [Reference] |
Minor | 0.99 (0.97-1.01) |
Nonteaching | 0.98 (0.95-0.998) |
Urban/rural | |
Urban | 1 [Reference] |
Rural | 0.75 (0.73-0.77) |
Safety-net status | |
No | 1 [Reference] |
Yes | 0.94 (0.93-0.96) |
Region | |
Northeast | 1 [Reference] |
Midwest | 0.96 (0.94-0.97) |
South | 1.01 (0.99-1.02) |
West | 1.01 (0.99-1.03) |
Abbreviations: ED, emergency department; HR, hazard ratio.
Cox proportional hazards model with time to ambulatory follow-up as the outcome and beneficiary age, sex, race, and Medicaid eligibility as covariates.
The multivariable model incorporated year of the visit, principal diagnosis category, beneficiary demographic characteristics and chronic conditions, and hospital characteristics as covariates, including clustering by hospital in a single Cox regression model. Mortality was accounted for as a competing risk. An HR less than 1 indicates a longer time until follow-up visit.
This group includes individuals who self-reported race/ethnicity as Asian, Hispanic, North American Native, and other.