Skip to main content

Table 3 Factors predicting emergency readmission/death at < 29 days of discharge from index surgery episode

From: Factors predicting hospital length-of-stay and readmission after colorectal resection: a population-based study of elective and emergency admissions

 

Emergency readmissions

Crude

Adjusted

 

No

n = 7146(%)

Yes

n = 657(%)

OR1

95% CI3

OR2

95% CI3

LRT4

Age at diagnosis

       

< 60 years

1732 (91.3)

164 (8.6)

1.0

-

1.0

  

60-69 years

2031 (93.2)

149 (6.8)

0.77

0.61-0.98

0.70

0.54-0.90

p = 0.038

70-79 years

2267 (91.1)

222 (8.9)

1.03

0.84-1.28

0.76

0.60-0.97

p = 0.038

80+

1116 (90.1)

122 (9.9)

1.15

0.90-1.48

0.78

0.58-1.05

p = 0.038

Gender

       

Male

4093 (91.4)

385 (8.6)

1.0

-

-

-

 

Female

3053 (91.82)

272 (8.18)

0.95

0.80-1.11

-

-

 

Marital status

       

Married

4235 (91.81)

378 (8.19)

1.00

-

-

-

 

Other

2888 (91.25)

277 (8.75)

1.07

0.91-1.26

-

-

 

Deprivation index 5

       

1 (least deprived)

1355 (93.5)

94 (6.5)

1.00

-

1.0

-

 

2

923 (91.7)

83 (8.3)

1.30

0.95-1.76

1.26

0.90-1.78

p = 0.060

3

895 (92.1)

77 (7.9)

1.24

0.91-1.69

1.25

0.88-1.77

p = 0.060

4

1213 (91.6)

111 (8.4)

1.32

0.99-1.75

1.20

0.87-1.66

p = 0.060

5 (most deprived)

2193 (90.7)

225 (9.3)

1.48

1.15-1.90

1.42

1.07-1.90

p = 0.060

missing

567 (89.4)

67 (10.6)

1.70

1.22-2.36

1.68

1.16-2.42

p = 0.060

Smoking status

       

Ever

2552 (91.4)

239 (8.6)

1.0

 

-

-

 

Never

3170 (91.8)

283 (8.2)

0.95

0.80-1.14

-

-

 

Unknown

1318 (91.1)

129 (8.9)

1.04

0.83-1.31

-

-

 

Comorbidity 6

       

0

5726 (92.2)

482 (7.8)

1.0

-

1.0

 

p < 0.001

1

1013 (90.6)

105 (9.4)

1.23

0.99-1.54

1.10

0.86-1.44

p < 0.001

2+

407 (85.3)

70 (14.7)

2.04

1.56-2.68

1.83

1.36-2.46

p < 0.001

Site 7

       

Proximal

2516 (91.6)

231 (8.4)

1.00

-

-

-

 

Distal

1910 (91.9)

168 (8.1)

0.96

0.78-1.18

-

-

 

Rectum

2480 (91.4)

233 (8.6)

1.02

0.85-1.24

-

-

 

Non specific

240 (90.6)

25 (9.4)

1.13

0.73-1.75

-

-

 

Stage

       

I & II

2338 (92.5)

190 (7.5)

1.0

-

1.0

-

 

III & IV

2856 (90.6)

295 (9.4)

1.27

1.05-1.54

1.22

1.00-1.51

p = 0.086

Unknown

1951 (91.9)

172 (8.1)

1.08

0.87-1.34

1.00

0.78-1.27

p = 0.086

Index admission

       

Elective

4623 (92.7)

367 (7.4)

1.0

 

1.0

-

 

Emergency

2522 (89.7)

290 (10.3)

1.45

1.23-1.70

1.21

1.00-1.46

p = 0.052

Discharge status

       

Public

3888 (90.6)

404 (9.4)

1.0

 

1.0

-

 

Private

2406 (93.8)

160 (6.2)

0.64

0.53-0.77

0.75

0.61-0.92

p = 0.008

Discharged to

       

Home

6032 (92.2)

508 (7.8)

1.0

-

1.0

  

Care

888 (89.7)

102 (10.3)

1.36

1.09-1.71

1.16

0.90-1.51

p < 0.001

Other

224 (84.2)

42 (15.8)

2.23

1.58-3.13

2.13

1.48-3.08

p < 0.001

Same health board 8

       

Yes

6451 (91.5)

603 (8.6)

1.0

-

-

-

 

No

695 (92.8)

54 (7.2)

0.83

0.62-1.11

-

-

 

Hospital volume 9

       

< 20

482 (88.1)

65 (11.9)

1.59

1.18-2.14

-

-

 

20-39

1134 (90.0)

126 (10.0)

1.31

1.03-1.66

-

-

 

40-59

2120 (92.2)

180 (7.8)

1.0

-

-

-

 

60-79

1232 (91.8)

110 (8.2)

1.05

0.82-1.35

-

-

 

80-100

753 (91.4)

71 (8.6)

1.11

0.83-1.48

-

-

 

> 100

1425 (93.1)

105 (6.9)

0.86

0.67-1.22

 

-

 

Surgeon volume 10

       

Low (< 10)

2360 (90.8)

238 (9.2)

1.0

-

-

-

 

Medium (10-29)

2292 (91.9)

201 (8.1)

0.87

0.71-1.06

-

-

 

High (> 30)

2494 (92.0)

218 (8.0)

0.87

0.71-1.05

-

-

 

Surgery LOS quartile

       

Q1

2269 (93.5)

157 (6.5)

1.0

-

1.0

-

 

Q2

1553 (92.8)

121 (7.2)

1.12

0.88-1.44

1.16

0.89-1.51

p < 0.001

Q3

1651 (92.0)

143 (8.0)

1.25

0.99-1.58

1.17

0.90-1.53

p < 0.001

Q4

1673 (87.6)

236 (12.4)

2.04

1.65-2.52

1.67

1.29-2.16

p < 0.001

  1. 1unadjusted odds ratio, 2adjusted for variables shown and hospital health board, 395% confidence intervals, 4p-values from likelihood ratio tests, 5SAHRU 2002 index, 6Charlson weights for surgery episode excluding cancer diagnosis, 7ICD-O 2 topography codes, 8patient resides in same health board region as hospital where surgery occurred, 9median number of colorectal resections performed at the hospital per year, 10median number of colorectal resections performed by the surgeon per year