Table 3.
Model 1a | Model 2a | Model 3a | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Variables | β | P Value | OR | 95% CI | β | P Value | OR | 95% CI | β | P Value | OR | 95% CI |
Clinical variables (2012 to 2014) | ||||||||||||
Mental disorders (MD) | ||||||||||||
Adjustment disorders | 0.559 | 0.000 | 1.74 | 1.304 to 2.344 | 0.532 | 0.000 | 1.703 | 1.268 to 2.287 | 0.417 | 0.010 | 1.517 | 1.105 to 2.084 |
Serious MD | 0.658 | 0.000 | 1.93 | 1.441 to 2.589 | 0.637 | 0.000 | 1.891 | 1.404 to 2.548 | 0.496 | 0.003 | 1.642 | 1.184 to 2.276 |
Elixhauser comorbidity indexb | ||||||||||||
1 | 0.257 | 0.221 | 1.293 | 0.857 to 1.953 | 0.268 | 0.206 | 1.307 | 0.863 to 1.978 | 0.221 | 0.307 | 1.247 | 0.817 to 1.904 |
2 | 0.151 | 0.520 | 1.163 | 0.735 to 1.840 | 0.178 | 0.449 | 1.195 | 0.753 to 1.897 | 0.136 | 0.578 | 1.146 | 0.709 to 1.850 |
3+ | −0.091 | 0.634 | 0.913 | 0.623 to 1.327 | −0.051 | 0.788 | 0.950 | 0.652 to 1.383 | −0.178 | 0.378 | 0.837 | 0.563 to 1.244 |
Co-occurring substance-related disorders (SRD)/chronic physical illnesses | 1.345 | 0.000 | 3.838 | 2.889 to 5.09 | 1.345 | 0.000 | 3.838 | 2.878 to 5.118 | 1.368 | 0.000 | 3.923 | 2.912 to 5.299 |
Sociodemographic variables (2014 to 2015) | ||||||||||||
Material deprivation index | ||||||||||||
2 | −0.135 | 0.625 | 0.874 | 0.509 to 1.500 | −0.119 | 0.670 | 0.887 | 0.512 to 1.537 | ||||
3 | 0.314 | 0.138 | 1.368 | 0.904 to 2.071 | 0.234 | 0.278 | 1.264 | 0.828 to 1.929 | ||||
4 | 0.274 | 0.239 | 1.316 | 0.833 to 2.078 | 0.232 | 0.329 | 1.262 | 0.792 to 2.011 | ||||
5 | 0.317 | 0.160 | 1.373 | 0.882 to 2.137 | 0.225 | 0.330 | 1.253 | 0.796 to 1.970 | ||||
Quebec health regions (measured at the index hospitalization) (ref.: university region) | ||||||||||||
Periphery | −0.058 | 0.765 | 0.943 | 0.644 to 1.382 | −0.076 | 0.702 | 0.927 | 0.628 to 1.367 | ||||
Other (intermediary and remote health regions) | 0.702 | 0.012 | 2.017 | 1.163 to 3.499 | 0.557 | 0.057 | 1.745 | 0.984 to 3.094 | ||||
Service use variables | ||||||||||||
Health service use (measured 12 months before index hospitalization) | ||||||||||||
Number of outpatient consultations with the patient psychiatrist (ref.: 0) | ||||||||||||
1 to 3 consultations | . | 0.340 | 0.120 | 1.405 | 0.915 to 2.157 | |||||||
4+ consultations | 0.613 | 0.007 | 1.847 | 1.181 to 2.886 | ||||||||
Prior emergency department (ED) visits for any medical reason (ref.: 0) | ||||||||||||
1 to 3 visits | –0.414 | 0.046 | 0.661 | 0.440 to 0.992 | ||||||||
4+ visits | −0.389 | 0.076 | 0.678 | 0.441 to 1.041 | ||||||||
Prior hospitalizations for any medical reason | 0.603 | 0.001 | 1.827 | 1.283 to 2.602 | ||||||||
Number of inpatient days for index hospitalization for any medical reason (ref.:1 to 3 days) | ||||||||||||
4 to 7 days | −0.289 | 0.143 | 0.749 | 0.509 to 1.103 | ||||||||
8 to 15 days | −0.050 | 0.805 | 0.951 | 0.640 to 1.414 | ||||||||
16 to 29 days | −1.867 | 0.000 | 0.155 | 0.081 to 0.295 | ||||||||
30+ days | −0.289 | 0.143 | 0.749 | 0.509 to 1.103 | ||||||||
Physician consultations for any medical reason after hospital discharge (measured within 30 days after discharge at index hospitalization or before readmission date) | −1.100 | 0.000 | 0.333 | 0.206 to 0.538 | ||||||||
Hosmer and Lemeshow test | ||||||||||||
χ2 | 6.902 | 5.953 | 9.828 | |||||||||
df | 6 | 8 | 8 | |||||||||
P | 0.330 | 0.653 | 0.277 |
a Adjusted logistic regression models.
b Chronic physical illnesses included chronic pulmonary disease, cardiac arrhythmias, tumor without metastasis, renal disease, fluid electrolyte disorders, myocardial infarction, congestive heart failure, metastatic cancer, dementia, stroke, neurological disorders, liver disease, pulmonary circulation disorders, coagulopathy, weight loss, paralysis, AIDS/HIV.