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. 2021 Aug 11;374:n1747. doi: 10.1136/bmj.n1747

Table 3.

Difference-in-differences estimates of associations between implementation of the Transitions Program and 30 day post-discharge outcomes by cohort

30 day outcome Adjusted odds ratio (95% CI)
All admissions Inpatient only HEDIS regulatory definition only High risk only*
Non-elective readmission 0.91 (0.89 to 0.93) 0.89 (0.87 to 0.91) 0.90 (0.87 to 0.92) 0.97 (0.89 to 1.06)
Post-discharge mortality 1.00 (0.95 to 1.04) 0.99 (0.95 to 1.04) NA† 0.96 (0.88 to 1.05)
Out-of-hospital mortality 1.02 (0.97 to 1.06) 1.01 (0.96 to 1.06) NA† 1.00 (0.91 to 1.10)

HEDIS=Healthcare Effectiveness Data and Information Set; NA=not applicable.

*

Patients with ≥45% predicted risk of composite outcome.

Excludes patients with <30 days of follow-up, and hence also excludes patients who died in this period.