Table 1.
Patient Characteristics and Adjusted Odds of Declining Home Hospital
| Declined (n = 157) | Enrolled (n = 91) | Unadjusted p-valuea | Adjusted OR (95% CI)b | |
|---|---|---|---|---|
| Age, years, median (IQR) | 74 (24) | 75 (23) | 0.2734 | 1.0 (1.0,1.0) |
| Female, n (%) | 50 (32) | 33 (36) | 0.4883 | 1.0 (0.5,1.9) |
| Race/Ethnicity, n (%) | 0.2632 | |||
| White | 77 (49) | 46 (51) | Referent | |
| Black | 34 (22) | 20 (22) | 0.8 (0.4,1.9) | |
| Latino | 40 (25) | 16 (18) | 2.8 (0.5,15.6) | |
| Asian | 4 (3) | 6 (7) | 0.8 (0.2,3.9) | |
| Other | 2 (1) | 3 (3) | 0.5 (0.1,4.3) | |
| Partnered, n (%)c | 38 (24) | 34 (37) | 0.0304 | 0.4 (0.2,0.8)d |
| Primary language, n (%) | 0.4908 | |||
| English | 121 (77) | 69 (76) | Referent | |
| Spanish | 28 (18) | 14 (15) | 0.7 (0.1,4.0) | |
| Other | 8 (5) | 8 (9) | 2.0 (0.5,8.0) | |
| Insurance, n (%) | 0.4907 | |||
| Private | 38 (24) | 20 (22) | Referent | |
| Medicare | 82 (52) | 42 (46) | 1.0 (0.5,2.4) | |
| Medicaid/None | 8 (5) | 8 (9) | 0.3 (0.1,1.1) | |
| Medicare + Medicaid | 29 (18) | 21 (23) | 0.5 (0.2,1.4) | |
| BMI, median (IQR) | 27 (7) | 26 (9) | 0.7123 | 1.0 (0.9,1.0) |
| Smoking status, n (%) | 0.4466 | |||
| Active | 14 (9) | 12 (13) | Referent | |
| Never | 82 (52) | 49 (54) | 2.1 (0.7,5.7) | |
| Prior | 61 (39) | 30 (33) | 2.6 (0.9,7.3) | |
| Medication count, median (IQR) | 13 (8) | 12 (12) | 0.7619 | 1.0 (0.9,1.0) |
| Comorbidity count, median (IQR) | 9 (11) | 8 (8) | 0.0432 | 1.1 (1.0, 1.1) |
| Code status: Full code, n (%)c | 136 (87) | 70 (77) | 0.0550 | 2.1 (0.9,5.0) |
| Hospital admission in last 6 months, n (%)c | 79 (50) | 33 (36) | 0.0349 | 1.4 (0.7,2.6) |
| Emergency department visit in last 6 months, n (%)c | 64 (41) | 32 (35) | 0.4187 | 0.9 (0.5,1.8) |
| Community hospital presentation, n (%)b | 83 (53) | 38 (42) | 0.1137 | 2.2 (1.2, 4.2)d |
| Diagnosis, n (%) | 0.2355 | |||
| Infection | 72 (46) | 44 (48) | Referent | |
| Heart failure | 36 (23) | 17 (19) | 1.5 (0.66, 3.3) | |
| COPD/asthma | 32 (20) | 13 (14) | 2.0 (0.82, 4.9) | |
| Other | 17 (11) | 17 (19) | 0.51 (0.21, 1.2) |
aBivariate comparison (Wilcoxon for continuous variables; chi-squared for categorical variables)
bMultivariable logistic regression predicting the adjusted odds of declining home hospital care, adjusted for all variables in the table
cReferent is the converse
dStatistically significant. Adjusted p-value for partnered, 0.0121. Adjusted p-value for community hospital presentation, 0.0122
Abbreviations: BMI, body mass index; COPD, chronic obstructive pulmonary disease; IQR, interquartile range