Table 2.
Variables | Values | Unadjusted | Adjusted | ||||||
---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | p | OR | 95% CI | p | ||||
Sociodemographic characteristics | |||||||||
Age (reference = 65+ years) | 18-64 years | 0.48 | 0.46 | 0.49 | <.0001 | 0.72 | 0.69 | 0.76 | <.0001 |
Sex (Ref = Male) | Female | 1.10 | 1.08 | 1.13 | <.0001 | 0.89 | 0.87 | 0.92 | <.0001 |
Race/Ethnicity (Ref = White) | Black | 0.90 | 0.86 | 0.94 | <.0001 | 0.78 | 0.74 | 0.82 | <.0001 |
Hispanic/Latino | 0.64 | 0.61 | 0.68 | <.0001 | 0.59 | 0.56 | 0.63 | <.0001 | |
Other | 0.76 | 0.73 | 0.80 | <.0001 | 0.83 | 0.78 | 0.88 | <.0001 | |
Marital status (Ref = Married) | Never Married | 1.02 | 0.99 | 1.05 | 0.2418 | 1.85 | 1.78 | 1.93 | <.0001 |
Widowed | 1.87 | 1.82 | 1.92 | <.0001 | 1.80 | 1.74 | 1.87 | <.0001 | |
Separated | 1.38 | 1.26 | 1.52 | <.0001 | 2.60 | 2.32 | 2.90 | <.0001 | |
Divorced | 1.52 | 1.46 | 1.59 | <.0001 | 2.52 | 2.40 | 2.64 | <.0001 | |
Insurance status (Ref = Private) | None | 0.90 | 0.83 | 0.98 | 0.0101 | 0.91 | 0.83 | 1.00 | 0.0389 |
Medicare | 2.34 | 2.28 | 2.41 | <.0001 | 1.57 | 1.50 | 1.65 | <.0001 | |
Medicaid | 1.45 | 1.38 | 1.53 | <.0001 | 1.24 | 1.17 | 1.32 | <.0001 | |
Other | 1.03 | 0.93 | 1.15 | 0.5951 | 1.06 | 0.94 | 1.20 | 0.3446 | |
Clinical characteristics | |||||||||
CMG Comorbidity Tier (Ref = Tier 0/None) | Tier 1 | 1.61 | 1.54 | 1.68 | <.0001 | 0.84 | 0.79 | 0.89 | <.0001 |
Tier 2 | 1.86 | 1.80 | 1.91 | <.0001 | 1.06 | 1.02 | 1.10 | 0.0018 | |
Tier 3 | 1.23 | 1.20 | 1.27 | <.0001 | 1.04 | 1.01 | 1.08 | 0.0264 | |
Admission Motor Function | Admission FIM Motor Score | 0.95 | 0.94 | 0.95 | <.0001 | ||||
Admission Cognitive Function | Admission FIM Cognitive Score | 0.93 | 0.93 | 0.93 | <.0001 | 0.99 | 0.99 | 0.99 | <.0001 |
Discharge Motor Function | Discharge FIM Motor Score | 0.93 | 0.93 | 0.93 | <.0001 | 0.94 | 0.94 | 0.934 | <.0001 |
Discharge Cognitive Function | Discharge FIM Cognitive Score | 0.89 | 0.89 | 0.89 | <.0001 | 0.96 | 0.96 | 0.96 | <.0001 |
Days Onset to Admission | Number of days | 1.01 | 1.01 | 1.01 | <.0001 | 1.00 | 1.00 | 1.00 | <.0001 |
Length of Stay | Number of days | 1.03 | 1.03 | 1.03 | <.0001 | 1.01 | 1.01 | 1.02 | <.0001 |
Year of admission (Ref = 2018) | 2002 | 1.05 | 0.98 | 1.12 | 0.2123 | 1.11 | 1.02 | 1.21 | 0.0135 |
2003 | 1.03 | 0.96 | 1.10 | 0.4908 | 1.00 | 0.92 | 1.09 | 0.9970 | |
2004 | 1.02 | 0.95 | 1.10 | 0.5325 | 1.01 | 0.93 | 1.10 | 0.7599 | |
2005 | 1.04 | 0.98 | 1.11 | 0.2158 | 0.99 | 0.92 | 1.07 | 0.8463 | |
2006 | 1.18 | 1.11 | 1.26 | <.0001 | 1.10 | 1.02 | 1.19 | 0.0114 | |
2007 | 1.18 | 1.11 | 1.26 | <.0001 | 1.09 | 1.01 | 1.18 | 0.0215 | |
2008 | 1.20 | 1.12 | 1.28 | <.0001 | 1.08 | 1.00 | 1.16 | 0.0413 | |
2009 | 1.24 | 1.16 | 1.32 | <.0001 | 1.10 | 1.03 | 1.19 | 0.0079 | |
2010 | 1.23 | 1.16 | 1.31 | <.0001 | 1.11 | 1.03 | 1.20 | 0.0047 | |
2011 | 1.13 | 1.06 | 1.21 | 0.0001 | 1.03 | 0.96 | 1.11 | 0.3838 | |
2012 | 1.14 | 1.07 | 1.22 | <.0001 | 1.06 | 0.99 | 1.15 | 0.0959 | |
2013 | 1.10 | 1.03 | 1.17 | 0.0049 | 1.04 | 0.97 | 1.12 | 0.2748 | |
2014 | 1.07 | 1.00 | 1.15 | 0.0547 | 1.07 | 0.98 | 1.15 | 0.1265 | |
2015 | 1.07 | 1.00 | 1.14 | 0.0424 | 1.02 | 0.95 | 1.10 | 0.6301 | |
2016 | 1.06 | 1.00 | 1.13 | 0.0616 | 1.05 | 0.98 | 1.13 | 0.1878 | |
2017 | 1.00 | 0.94 | 1.07 | 0.9134 | 0.99 | 0.92 | 1.07 | 0.8466 | |
Facility Characteristics | |||||||||
IRF location (Ref = Region P02: NJ, NY, PR) | Region P01: CT, MA, ME, NH, RI, VT | 1.01 | 0.95 | 1.06 | 0.8647 | 1.08 | 1.01 | 1.16 | 0.0321 |
Region P03: DE, MD, PA, VA, WV | 0.67 | 0.64 | 0.70 | <.0001 | 0.62 | 0.59 | 0.66 | <.0001 | |
Region P04: AL, FL, GA, KT, MS, NC, TN, SC | 0.52 | 0.50 | 0.55 | <.0001 | 0.37 | 0.35 | 0.39 | <.0001 | |
Region P05: IL, IN, MI, MN, OH, WI | 0.72 | 0.69 | 0.75 | <.0001 | 0.76 | 0.72 | 0.80 | <.0001 | |
Region P06: AR, LA, NM, OK, TX | 0.69 | 0.66 | 0.73 | <.0001 | 0.64 | 0.61 | 0.68 | <.0001 | |
Region P07: IA, KS, MO, NE | 0.74 | 0.70 | 0.79 | <.0001 | 0.85 | 0.79 | 0.90 | <.0001 | |
Region P08: CO, MT, ND, SD, UT, WY | 0.52 | 0.49 | 0.55 | <.0001 | 0.70 | 0.65 | 0.75 | <.0001 | |
Region P09: AZ, CA, HI, NV | 0.41 | 0.39 | 0.43 | <.0001 | 0.33 | 0.31 | 0.35 | <.0001 | |
Region P10: AK, ID, OR, WA | 0.32 | 0.29 | 0.35 | <.0001 | 0.40 | 0.36 | 0.44 | <.0001 | |
IRF type (Ref = Rehab Unit in Hospital) | Freestanding | 0.97 | 0.94 | 0.99 | 0.0034 | 0.81 | 0.79 | 0.84 | <.0001 |
IRF accreditation (Ref = No accreditation) | Accreditation (Joint Commission and/or CARF) | 1.05 | 1.02 | 1.07 | <.0001 | 1.13 | 1.10 | 1.17 | <.0001 |
Note: Ref = Reference; FIM = Functional Independence Measure; CMG = case mix group