Table 4 Prognostic and Follow-Up Model Results for Gt2_ADLs and Gt1_ADLs
From: Functional status decline as a measure of adverse events in home health care: an observational study
Prognostic Models | Follow-Up Models | |||
|---|---|---|---|---|
Parameter | Gt2_ADLs | Gt1_ADLs | Gt2_ADLs | Gt1_ADLs |
Only Significant Odds Ratios (OR) Reported | OR | OR | OR | OR |
Demographics | ||||
Female | ||||
Age 75 to 84 | 0.84 | |||
Age 85 and over | 1.34 | 1.12 | 1.28 | |
White | ||||
Non-White | 1.11 | |||
Physician Availability | ||||
Highest quintile of availability | 0.73 | |||
Lowest quintile of availability | 1.30 | 1.17 | 1.30 | 1.18 |
Financial Factors | ||||
Highest quintile of income | ||||
Lowest quintile of income | 1.26 | 1.24 | 1.13 | |
Financial Difficulties | ||||
Language | ||||
Spanish speaking only | ||||
Translator needed | 0.87 | |||
Payment Source | ||||
Medicaid | ||||
Medicare and Medicaid | ||||
Private or other payer | 0.62 | 0.73 | 0.69 | |
Managed care | 0.65 | |||
Living Arrangements | ||||
Lives alone | 0.82 | 0.84 | ||
Lives with spouse | ||||
Lives with Family | 1.10 | 1.12 | ||
Support/Assistance | ||||
Assistance, none | 1.41 | 1.20 | ||
Assistance in place of residence | ||||
Assistance, out of residence | ||||
Caregiver is spouse | ||||
Pain Status | ||||
pain, daily | 0.76 | 0.84 | 0.82 | 0.87 |
Intractable pain | ||||
Referral/Personal Health | ||||
comorbidities (mean) | 1.06 | 1.08 | ||
Discharged from hospital within two weeks prior to admittance | 0.75 | 0.80 | 0.80 | |
Discharged from other facility within two weeks prior | 0.82 | 0.80 | ||
Referral from a public hospital | 1.43 | 1.18 | ||
Life expectancy | 2.02 | 1.42 | ||
Medical regimen change within two weeks prior | 0.89 | 0.69 | 0.87 | |
Obesity | 0.73 | |||
Primary Diagnosis Severity | ||||
Referral/Personal Health | ||||
Poor prognosis | 1.78 | 1.24 | 1.30 | |
Poor rehabilitation | 1.13 | 1.37 | ||
High Risk Factor Summary Score | ||||
Smoking | ||||
Weighted ADL Summary Score | 1.25 | 1.07 | 1.18 | 1.06 |
Sensory Status | ||||
Vision impairment | 1.13 | |||
Hearing impairment | 0.66 | 0.85 | 0.87 | |
Speech impairment | 1.39 | 1.46 | 1.39 | |
Elimination Status | ||||
Urine incontinence | 1.86 | 1.46 | 1.87 | 1.45 |
Urinary catheter | 2.80 | 1.86 | 1.73 | 1.69 |
Bowel incontinence | 1.63 | 1.33 | 1.83 | 1.65 |
Incontinence | ||||
Neurological/emotional | ||||
Cognitive impairment, mild | ||||
Cognitive impairment, high | ||||
Confusion | ||||
Depressed | ||||
Medication Assessment | ||||
unique number of drugs (mean) | ||||
number of drug classes (mean) | ||||
Psychotropic drug usage | ||||
Caregiver knowledgeable of Medications | 1.13 | 1.12 | ||
ICD9 Codes of Primary Diagnosis | ||||
Circulatory without COPD | ||||
Dyspnea | 0.85 | 0.86 | 0.79 | 0.89 |
Injury | 0.79 | |||
Musculoskeletal | 0.71 | 0.77 | 0.82 | |
Neoplasm | 1.47 | 1.29 | 1.92 | 1.26 |
nervous system diseases | 1.67 | 1.38 | 1.38 | 1.34 |
Respiratory diseases | ||||
skin diseases | 1.38 | 1.39 | ||
Skin lesion | 1.15 | |||
Surgical wound | 0.70 | 0.71 | 0.62 | 0.67 |
Among top ICD9 codes for agency | ||||
Congestive Heart Failure | 1.25 | |||
Pressure Ulcer | 1.56 | 1.28 | 2.19 | 1.50 |