Table 3.

The effect of continuity of nursing care on rehospitalization among home health care patients with dementia

	Odds Ratio	P	95% C.I.
Continuity of nursing care^† (baseline: 3rd tertile)
2^nd tertile	1.30	0.000	[1.20 - 1.40]
1st tertile	1.33	0.000	[1.23 - 1.44]
Age	0.99	0.000	[0.99 - 0.99]
Male	1.16	0.000	[1.08 - 1.24]
Race/ethnicity (baseline: White, non-Hispanic)
Black, non-Hispanic	0.86	0.001	[0.79 - 0.94]
Hispanic	0.79	0.000	[0.73 - 0.86]
Other	0.78	0.000	[0.68 - 0.88]
Insurance (baseline: Medicare)
Medicaid	0.59	0.000	[0.49 - 0.71]
Dual	0.97	0.537	[0.89 - 1.07]
Private/Other	0.56	0.000	[0.50 - 0.63]
Multiple hospitalizations (>=2) in the past 12 months	1.33	0.000	[1.25 - 1.42]
History of falls (>=2 falls or any fall with an injury) in the past 12 months	0.92	0.044	[0.85 - 1.00]
Presence of frailty indicators	1.07	0.056	[1.00 - 1.14]
Taking 5 or more medications	1.04	0.327	[0.96 - 1.13]
Functional status	1.11	0.000	[1.09 - 1.13]
Overall health status, with ongoing high risk(s) or serious progressive conditions	1.25	0.000	[1.16 - 1.35]
Pain daily/all the time	1.03	0.429	[0.96 - 1.1]
Presence of pressure ulcer	1.53	0.000	[1.39 - 1.69]
Presence of surgery wound	0.95	0.252	[0.86 - 1.04]
Presence of Urinary incontinence	1.09	0.030	[1.01 - 1.17]
Shortness of breath (baseline: no short of breath)
Walking>20 feet	1.05	0.271	[0.96 - 1.14]
Moderate, minimal, at rest	1.18	0.000	[1.10 - 1.28]
Anxiety (baseline: none of the time)
Less often than daily	0.96	0.310	[0.88 - 1.04]
Daily or all the time	1.05	0.276	[0.96 - 1.14]
Number of comorbidities (baseline: no comorbidities)
1	1.31	0.014	[1.06 - 1.63]
2	1.50	0.000	[1.22 - 1.85]
3	2.08	0.000	[1.70 - 2.55]
Live alone	1.06	0.088	[0.99 - 1.13]
Caregiving/assistance in ADLs and/or IADLs	0.81	0.006	[0.70 - 0.94]
Intensity of nursing care	1.18	0.000	[1.14 - 1.23]
Intensity of non-nursing skilled care	0.74	0.000	[0.71 - 0.77]
Intensity of home health aide assistance	1.21	0.000	[1.16 - 1.25]

ROC	0.6833

^†

a higher score indicates a higher level of continuity of nursing care

ROC, receiver operating characteristic, a statistical indicator of model performance of correctly distinguishing objects of interest (herein rehospitalization). ADLs, activities of daily living; IADLs, instrumental activities of daily living (IADLs).