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Research ArticleOriginal Research

Predictors of Thirty-Day Readmission Among Hospitalized Family Medicine Patients

Gregory M. Garrison, Meghna P. Mansukhani and Bradley Bohn
The Journal of the American Board of Family Medicine January 2013, 26 (1) 71-77; DOI: https://doi.org/10.3122/jabfm.2013.01.120107
Gregory M. Garrison
From the Department of Family Medicine, Mayo Clinic, Rochester, MN (GMG BB); and Affiliated Community Medical Centers, Willmar, MN (MPM).
MD, MS
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Meghna P. Mansukhani
From the Department of Family Medicine, Mayo Clinic, Rochester, MN (GMG BB); and Affiliated Community Medical Centers, Willmar, MN (MPM).
MBBS
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Bradley Bohn
From the Department of Family Medicine, Mayo Clinic, Rochester, MN (GMG BB); and Affiliated Community Medical Centers, Willmar, MN (MPM).
MD
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  • Article
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Article Figures & Data

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    Figure 1.

    Selection of cases and controls.

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    Figure 2.

    Distributions of age, previous hospitalizations, length of stay, and discharge medications between readmission cases and controls.

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    Table 1.

    Bivariate Factors Associated With Readmission

    Not Readmitted Within 30 Days (n = 192)Readmitted Within 30 Days (n = 84)Odds Ratio (95% CI)P
    Age, mean years (SD)60.8 (22.4)64.7 (20.4).2350
        18–5063 (32.8)19 (22.6)
        51–6434 (17.7)18 (21.4)
        65–7938 (19.8)20 (23.8)
        ≥8057 (29.7)27 (32.1)
    Sex.6021
        Female103 (53.6)48 (57.1)
        Male89 (46.4)36 (42.9)0.87 (0.50–1.50)
    Marital status.0369
        Single, widowed, or divorced81 (42.2)47 (56.0)
        Married111 (57.8)37 (44.0)0.58 (0.33–0.995)
    Education level, mean years (SD)13.1 (2.55)12.6 (2.24).1372
    Living situation1.0000
        Skilled care, assisted living39 (20.3)17 (20.2)
        Home, apartment153 (79.7)67 (79.8)1.00 (0.51–2.03)
    Hospitalizations in past 12 months, mean (SD)0.60 (1.02)2.32 (2.61)<.0001
    ≥1 Hospitalization in past 12 months67 (34.9)56 (66.7)3.71 (2.10–6.68)<.0001
    ED visits in previous 12 months, mean (SD)2.03 (3.00)4.12 (4.17)<.0001
    Length of stay (days) , mean (SD)2.34 (2.25)3.50 (4.24).0422
    >3-Day hospital stay34 (17.7)27 (32.1)2.19 (1.16–4.12).0113
    Discharge medications, mean (SD)10.2 (6.22)13.2 (6.80).0006
    ≥10 Discharge medications99 (51.6)60 (71.4)2.34 (1.31–4.27).0023
    ICU stay14 (7.3)2 (2.4)0.31 (0.03–1.40).1606
    Discharge to skilled nursing home28 (14.6)12 (14.3)0.98 (0.43–2.12)1.0000
    Comorbidities, mean (SD)1.2 (1.44)2.1 (1.67)<.0001
    Comorbidities*
        Coronary artery disease (410–414)30 (15.6)23 (27.4)2.03 (1.04–3.94).0303
        Congestive heart failure (428)21 (10.9)18 (21.4)2.21 (1.04–4.68).0252
        Atrial fibrillation (427.3)19 (9.9)11 (13.1)1.37 (0.56–3.68).5285
        Diabetes (249–250)29 (15.1)21 (25.0)1.87 (0.94–3.33).0615
        Chronic obstructive pulmonary disease (491–492, 496)34 (17.7)25 (29.8)1.96 (1.03–3.72).0372
        Chronic kidney disease (582, 585–586, 588)27 (14.1)20 (23.8)1.90 (0.94–3.81).0560
        Cancer (140–209)15 (7.8)14 (16.7)2.35 (1.00–5.53).0335
        Psychiatric (291–292, 294–304, 306–312)63 (32.8)41 (48.8)1.95 (1.12–3.40).0150
    Attended follow-up visit151 (78.6)69 (83.1)1.34 (0.66–2.84).4177
    • For continuous values, the mean and (standard deviation) are reported. All other values are reported as n (%). Bolded values are statistically significant (P < .5).

    • ↵* ICD-9 codes used to define comorbidity are listed in parenthesis.

    • ED, emergency department; ICU, intensive care unit.

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    Table 2.

    Results of Logistic Regression

    Odds Ratio95% CIP (z)
    Age ≥65 years0.71(0.35–1.43)0.3451
    Married0.54(0.30–0.97)0.0398
    ≥1 Hospitalization in past 12 months2.71(1.49–4.95)0.0011
    ≥10 Discharge medications1.73(0.86–3.53)0.1256
    >3-Day stay2.16(1.11–4.21)0.0232
    Discharge to nursing home0.63(0.25–1.50)0.3038
    Coronary artery disease1.80(0.86–3.76)0.1165
    Congestive heart failure1.28(0.56–2.89)0.5503
    Chronic obstructive pulmonary disease1.27(0.62–2.58)0.5085
    Cancer1.78(0.73–4.33)0.2040
    Psychiatric1.10(0.60–2.03)0.7492
    • Bolded values are statistically significant (P < .05).

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The Journal of the American Board of Family     Medicine: 26 (1)
The Journal of the American Board of Family Medicine
Vol. 26, Issue 1
January-February 2013
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Predictors of Thirty-Day Readmission Among Hospitalized Family Medicine Patients
Gregory M. Garrison, Meghna P. Mansukhani, Bradley Bohn
The Journal of the American Board of Family Medicine Jan 2013, 26 (1) 71-77; DOI: 10.3122/jabfm.2013.01.120107

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Predictors of Thirty-Day Readmission Among Hospitalized Family Medicine Patients
Gregory M. Garrison, Meghna P. Mansukhani, Bradley Bohn
The Journal of the American Board of Family Medicine Jan 2013, 26 (1) 71-77; DOI: 10.3122/jabfm.2013.01.120107
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