Table 3.
Risk of readmissions within 28 days and mortality within 30 days and within six months of discharge from hospital (A) and over a two-year period (B) according to the initial legth of stay in hospital in 32 270 alive discharge episodes
| Risk of readmissions and mortality | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Unadjusted | Adjusted for age and sex | Adjusted for age, sex, patients’ severityb and index admissionsc | ||||||||||
| Table 3A | OR | 95% CI | r 2 (%) | P | OR | 95% CI | r 2 (%) | P | OR | 95% CI | r 2 (%) | P |
| 1 readmission | ||||||||||||
| Bottom tertile of LOS | 0.32 | 0.21–0.49 | 7.4 | <0.001 | 0.33 | 0.21–0.51 | 8.0 | <0.001 | 0.32 | 0.21–0.50 | 12.5 | <0.001 |
| Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| Top tertile of LOS | 2.52 | 2.16–3.08 | <0.001 | 2.30 | 1.97–2.83 | <0.001 | 2.32 | 1.88–2.88 | <0.001 | |||
| ≥2 readmissions | ||||||||||||
| Bottom tertile of LOS | 0.18 | 0.12–0.28 | 15.9 | <0.001 | 0.20 | 0.13–0.30 | 16.9 | <0.001 | 0.18 | 0.12–0.28 | 21.5 | <0.001 |
| Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| Top tertile of LOS | 7.85 | 6.54–9.41 | <0.001 | 6.21 | 5.16–7.49 | <0.001 | 6.17 | 5.11–7.45 | <0.001 | |||
| Died within 30 days | ||||||||||||
| Bottom tertile of LOS | 0.68 | 0.52–0.90 | 9.1 | 0.007 | 0.81 | 0.61–1.07 | 12.5 | 0.143 | 0.86 | 0.64–1.14 | 15.4 | 0.292 |
| Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| Top tertile of LOS | 5.35 | 4.40–6.50 | <0.001 | 3.28 | 2.69–4.01 | <0.001 | 2.87 | 2.34–3.51 | <0.001 | |||
| Died within 6 months | ||||||||||||
| Bottom tertile of LOS | 0.69 | 0.59–0.91 | 10.8 | <0.001 | 0.82 | 0.70–0.96 | 14.2 | 0.016 | 0.83 | 0.71–0.99 | 17.3 | 0.032 |
| Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| Top tertile of LOS | 4.61 | 4.11–5.18 | <0.001 | 2.83 | 2.51–3.19 | <0.001 | 2.52 | 2.23–2.85 | <0.001 | |||
| Risk of mortality over two year period | ||||||||||||
| Unadjusted | Adjusted for age and sex | Adjusted for age, sex, patients’ severityb and index admissionsc | ||||||||||
| Table 3B | OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | |||
| All ages: Bottom tertile of LOS | 0.73 | 0.65–0.82 | <0.001 | 0.86 | 0.77–0.97 | 0.017 | 0.86 | 0.76–0.97 | 0.016 | |||
| All ages: Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| All ages: Top tertile of LOS | 3.89 | 3.56–4.26 | <0.001 | 2.34 | 2.14–2.57 | <0.001 | 2.25 | 2.05−2.47 | <0.001 | |||
| 18–49 years: Bottom tertile of LOS | 1.13 | 0.58–2.20 | 0.730 | 1.19 | 0.61–2.33 | 0.613 | 1.27 | 0.64–2.53 | 0.431 | |||
| 18–49 years: Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| 18–49 years: Top tertile of LOS | 7.97 | 4.31–14.74 | <0.001 | 7.21 | 3.89–13.36 | <0.001 | 6.67 | 3.54–12.56 | <0.001 | |||
| 50–59 years: Bottom tertile of LOS | 0.80 | 4.48–1.35 | 0.405 | 0.82 | 0.48–1.38 | 0.445 | 0.72 | 0.42–1.23 | 0.231 | |||
| 50–59 years: Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| 50–59 years: Top tertile of LOS | 4.78 | 3.17–7.20 | <0.001 | 4.75 | 3.15–7.16 | <0.001 | 4.18 | 2.74–6.37 | <0.001 | |||
| 60–69 years: Bottom tertile of LOS | 0.70 | 0.49–1.00 | 0.052 | 0.70 | 0.49–1.01 | 0.058 | 0.62 | 0.43–0.90 | 0.013 | |||
| 60–69 years: Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| 60–69 years: Top tertile of LOS | 3.40 | 2.62–4.41 | <0.001 | 3.37 | 2.59–4.37 | <0.001 | 3.09 | 2.37–4.03 | <0.001 | |||
| 70–79 years: Bottom tertile of LOS | 0.95 | 0.74–1.21 | 0.648 | 0.94 | 0.74–1.20 | 0.624 | 0.88 | 0.69–1.13 | 0.309 | |||
| 70–79 years: Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| 70–79 years: Top tertile of LOS | 2.98 | 2.48–3.58 | <0.001 | 2.95 | 2.45–3.54 | <0.001 | 2.72 | 2.26–3.27 | <0.001 | |||
| ≥80 years: Bottom tertile of LOS | 0.89 | 0.76–1.04 | 0.145 | 0.89 | 0.76–1.05 | 0.162 | 0.93 | 0.79–1.09 | 0.365 | |||
| ≥80 years: Middle tertile of LOSa | 1 | – | – | 1 | – | – | 1 | – | – | |||
| ≥80 years: Top tertile of LOS | 1.86 | 1.66–2.09 | <0.001 | 1.81 | 1.61–2.03 | <0.001 | 1.77 | 1.58–2.00 | <0.001 | |||
OR, odds ratio; LOS, length of stay;.
Reference group = middle tertile;
Patients’ severity: Acuity of admission, Charlson Comorbidity Index score ≥1 and emergency department use;
See Supplementary Table S2 for complete list of index admissions.