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Table 3 Patterns of health care engagement associated with subsequent all-cause hospitalization within 1 year of discharge from an index hospitalization among patients with diabetes

From: Patterns of engagement with the health care system and risk of subsequent hospitalization amongst patients with diabetes

 

Unadjusted model

Multivariate adjusted model*

HR (95% CI)

HR (95% CI)

# of emergency department visits in the 1-year period

  

Prior to the index hospitalization

  0

Reference

Reference

  Per visit

1.05 (1.04–1.06)

1.04 (1.03–1.05)

# of primary care physician visits in the 1-year period

  

Prior to the index hospitalization

  

  0

1.26 (1.13–1.41)

1.11 (0.99–1.25)

  1-4

Reference

Reference

  5-9

1.08 (1.02–1.14)

1.06 (1.00–1.12)

  10+

1.48 (1.41–1.56)

1.23 (1.16–1.29)

Discharge Disposition of index hospitalization

  

  Discharged Home

Reference

Reference

  Transfer to Palliative Care

1.46 (1.04–2.03)

0.86 (0.62–1.21)

  Transfer to Long-term Care

1.29 (1.17–1.41)

0.75 (0.68–0.84)

  Discharged Home with Support Services

1.55 (1.48–1.63)

1.13 (1.08–1.20)

  Left Against Medical Advice

1.85 (1.60–2.13)

1.74 (1.50–2.02)

  1. *Adjustment for patient level factors (Age, sex, diabetes duration, neighborhood income quintile, urban/rural status, First Nations status, A1c measurement in past 6 months (Y/N), eGFR category prior to index hospitalization, hypertension, affective disorder, Charlson comorbidities (cancer, congestive heart failure, COPD, dementia, metastatic solid tumor, myocardial infarction, mild liver disease, moderate/severe liver disease, paraplegia/hemiplegia, peptic ulcer disease, peripheral vascular disease, renal disease, rheumatic disease) and factors related to index hospitalization (most responsible diagnosis and length of stay) and health resource use post discharge.