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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.