Table 8.
Multivariate Logistic Regression Models for 30-day Readmissions by ADI, 2-Category DCI, 3-Category DCI, and Insurance Status
| Date of surgery |
Date of discharge |
|||
|---|---|---|---|---|
| OR (95% CI) | P value | OR (95% CI) | P value | |
| ADI | ||||
| ADI (Ref = Low) | ||||
| Medium (4–6) | 2.49 (1.29 – 5.06) | 0.008 | 2.15 (1.17 – 4.09) | 0.02 |
| High (7–10) | 2.18 (1.20 – 4.23) | 0.01 | 1.88 (1.08 – 3.40) | 0.03 |
| RAI-A (Ref = Robust) | ||||
| Normal (21–29) | 0.97 (0.61 – 1.53) | 0.90 | 1.01 (0.64 – 1.56) | 0.98 |
| Frail (30–50) | 0.86 (0.45 – 1.60) | 0.65 | 1.29 (0.73 – 2.24) | 0.38 |
| Stoma (Ref = No) | ||||
| Yes | 1.43 (0.93 – 2.18) | 0.09 | 2.39 (1.60 – 3.58) | <0.001 |
| Clavien-Dindo IV Complications (Ref = No) | ||||
| Yes | 2.94 (1.81 – 4.76) | <0.001 | 2.81 (1.77 – 4.45) | <0.001 |
| 2-Category DCI | ||||
| DCI (Ref = Low Distress (DCI ≤75) | ||||
| High Distress (DCI >75) | 1.34 (0.90 – 1.99) | 0.15 | 1.28 (0.87 – 1.87) | 0.21 |
| RAI-A (Ref = Robust) | ||||
| Normal (21–29) | 0.91 (0.57 – 1.42) | 0.67 | 0.95 (0.60 – 1.46) | 0.81 |
| Frail (30–50) | 0.85 (0.44 – 1.57) | 0.62 | 1.28 (0.72 – 2.22) | 0.39 |
| Stoma (Ref = No) | ||||
| Yes | 1.43 (0.94 – 2.18) | 0.09 | 2.39 (1.60 – 3.58) | <0.001 |
| Clavien-Dindo IV Complications (Ref = No) | ||||
| Yes | 2.72 (1.68 – 4.36) | <0.001 | 2.61 (1.65 – 4.11) | <0.001 |
| 3-Category DCI | ||||
| DCI (Ref = Pros/Comf) | ||||
| Mid-Tier (40–59) | 1.72 (0.84 – 3.44) | 0.13 | 1.60 (0.81 – 3.09) | 0.17 |
| Risk/Dis (60–100) | 1.62 (1.01 – 2.67) | 0.05 | 1.38 (0.89 – 2.19) | 0.16 |
| RAI-A (Ref = Robust) | ||||
| Normal (21–29) | 0.90 (0.57 – 1.42) | 0.67 | 0.95 (0.60 – 1.46) | 0.81 |
| Frail (30–50) | 0.85 (0.44 – 1.57) | 0.62 | 1.29 (0.73 – 2.24) | 0.38 |
| Stoma (Ref = No) | ||||
| Yes | 1.43 (0.94 – 2.18) | 0.09 | 2.39 (1.60 – 3.58) | <0.001 |
| Clavien-Dindo IV Complications (Ref = No) | ||||
| Yes | 2.71 (1.68 – 4.36) | <0.001 | 2.60 (1.65 – 4.10) | <0.001 |
| Insurance Status | ||||
| Insurance Status (Ref = Medicare/Private) | ||||
| Medicaid/Dual/Carelink/Self-pay | 1.44 (0.95 – 2.20) | 0.09 | 1.37 (0.92 – 2.05) | 0.12 |
| RAI-A (Ref = Robust) | ||||
| Normal (21–29) | 0.98 (0.61 – 1.55) | 0.94 | 1.02 (0.65 – 1.59) | 0.94 |
| Frail (30–50) | 0.93 (0.48 – 1.71) | 0.81 | 1.37 (0.77 – 2.39) | 0.28 |
| Stoma (Ref = No) | ||||
| Yes | 1.40 (0.91 – 2.13) | 0.12 | 2.34 (1.57 – 3.50) | <0.001 |
| Clavien-Dindo IV Complications (Ref = No) | ||||
| Yes | 2.79 (1.73 – 4.48) | <0.001 | 2.67 (1.69 – 4.21) | <0.001 |
ADI, Area Deprivation Index; CI, confidence interval; OR, odds ratio; Ref, reference; DCI, Distressed Communities Index