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Table 4 Predictors of the Occurrence and Quality of AKI in Discharge Communication

From: Hospital discharge communications during care transitions for patients with acute kidney injury: a cross-sectional study

Patient characteristics Presence of AKI in discharge communication (N = 75) Quality of AKI discharge communication (N = 75)
Adjusted %a (95 % CI) P value βab (95 % CI) Quality elements P value
Age   0.65   0.47
  ≥ 65 years 42 (14–76)   0.39 (−0.69, 1.47)  
  < 65 years 50 (Ref)   Ref  
Sex
 Male 50 (22–78) 0.88 −0.38 (−1.34, 0.58) 0.44
 Female 48 (Ref)   Ref  
Race
 African American 62 (31–86) 0.11 0.48 (−0.52, 1.48) 0.34
 White/Asian/Other 36 (Ref)   Ref  
Diabetes
 Yes 29 (06–71) 0.52 −0.26 (−1.61, 1.08) 0.70
 No 42 (Ref)   Ref  
Congestive heart failure
 Yes 59 (17–91) 0.41 0.93 (−0.57, 2.42) 0.22
 No 39 (Ref)   Ref  
Chronic kidney disease
 Yes 92 (51–99) 0.02 1.04 (−0.48, 2.56) 0.18
 No 39 (Ref)   Ref  
AKI stage
 3 84 (39–98) 0.009* 2.29 (0.87, 3.72) 0.002*
 2 43 (11–82) 0.35 0.62 (−0.65, 1.90) 0.33
 1 24 (Ref)   Ref  
Unresolved AKI on discharge
 Yes 47 (18–79) 0.51 0.40 (−0.67, 1.48) 0.46
 No 35 (Ref)   Ref  
Discharge service
 Medical 73 (33–93) 0.01 0.87 (−0.21, 1.94) 0.11
 Surgery 23 (Ref)   Ref  
Length of stay (days)
 High (13+) 49 (10–89) 0.74 −1.36 (−3.00, 0.28) 0.10
 Middle (7–12) 50 (15–85) 0.65 −0.27 (−1.56, 1.01) 0.67
 Low (1–6) 40 (Ref)   Ref  
Intensive care unit stay
 Yes 49 (13–85) 0.91 0.54 (−0.72, 1.79) 0.40
 No 46 (Ref)   Ref  
  1. *p for trend in adjusted analysis < 0.05
  2. aAdjusted for age, race, sex, diabetes, congestive heart failure, chronic kidney disease, AKI stage, AKI resolution, discharge service, length of stay and intensive care unit stay
  3. bβ are for the number of quality elements present in both the discharge summary and the patient discharge instructions
  4. Abbreviations: AKI acute kidney injury