Table 2.
Unadjusted Outcomes in the Full Cohort and Propensity-Matched Cohort
Full Cohort*
|
Propensity-Score–Matched Cohort
†
|
|||||
---|---|---|---|---|---|---|
No PR/ Late PR | PR within 90 Days of Discharge | P Value (Chi-square Test) | No PR/ Late PR | PR within 90 Days of Discharge | P Value (Conditional Regression) | |
n (%) | 194,655 (98.5) | 2,721 (1.5) | — | 2,710 (50.0) | 2,710 (50.0) | — |
Any unplanned all-cause rehospitalizations/SNF/ED visits in 1 year after discharge | 147,631 (75.8) | 1,901 (69.9) | <0.001 | 1,730 (63.8) | 1,732 (63.9) | 0.95 |
Mortality 1 year after discharge | 38,104 (19.6) | 198 (7.3) | <0.001 | 382 (14.1) | 198 (7.3) | <0.001 |
Number of days spent in the hospital per person-year | 22.7 ± 34.3 | 11.5 ± 19.1 | <0.001 ‡ | 11.7 ± 30.5 | 7.9 ± 18.9 | <0.001 |
Number of days spent in nursing home per person-year | 4.9 ± 17.0 | 2.0 ± 8.7 | <0.001 ‡ | 2.9 ± 14.0 | 1.8 ± 7.8 | 0.0003 |
Number of days spent in ED per person-year | 1.4 ± 2.9 | 1.1 ± 2.0 | 0.001 ‡ | 1.1 ± 2.3 | 1.0 ± 2.0 | 0.025 |
Average number of unplanned rehospitalizations | 1.5 ± 1.9 | 1.2 ± 1.5 | <0.001 ‡ | 1.2 ± 1.7 | 1.1 ± 1.6 | 0.02 |
Categories of number of unplanned rehospitalizations in 1 year after discharge | <0.001 | 0.091 | ||||
No rehospitalizations during follow-up | 68,935 (35.4) | 1,187 (43.6) | — | 1,333 (49.2) | 1,368 (50.5) | — |
One rehospitalization during follow-up | 55,626 (28.6) | 756 (27.8) | — | 576 (21.3) | 624 (23.0) | — |
Two or more rehospitalizations during follow-up | 70,094 (36.0) | 778 (28.6) | — | 801 (29.6) | 718 (26.5) | — |
Unplanned COPD rehospitalizations in 1 year after discharge | 61,344 (31.5) | 914 (33.6) | 0.021 | 735 (27.1) | 726 (26.8) | 0.78 |
Definition of abbreviations: COPD = chronic obstructive pulmonary disease; ED = emergency department; PR = pulmonary rehabilitation; SNF = skilled nursing facility.
Data are presented as n (%) or mean ± SD unless otherwise indicated.
Outcomes assessed from discharge until 1 year or PR start after 90 days or death.
Outcomes assessed from matched PR start day until 1 year after discharge or PR start after 90 days or death.
Kruskal-Wallis test.