Identifying risk factors for 30-day readmission events among American Indian patients with diabetes in the Four Corners region of the southwest from 2009 to 2016

Autor: Christopher B. Brown, Sonya Shin, Endel J. Orav, Sidney Atwood, Olivia Muskett, Samantha Sabo, Cameron Curley, Caroline King, Mia Lozada, Adrianne Katrina Nelson
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Research design
Male
Time Factors
Economics
Health Care Providers
Psychological intervention
lcsh:Medicine
Social Sciences
Logistic regression
0302 clinical medicine
Endocrinology
Residence Characteristics
Risk Factors
Medicine and Health Sciences
Psychology
030212 general & internal medicine
lcsh:Science
Child
Language
Allied Health Care Professionals
Aged
80 and over
Multidisciplinary
Geography
Middle Aged
Hospitals
Patient Discharge
Substance abuse
Research Design
Child
Preschool
Female
Health Services Research
Research Article
Adult
Patients
Adolescent
Endocrine Disorders
030209 endocrinology & metabolism
Research and Analysis Methods
Patient Readmission
03 medical and health sciences
Young Adult
Health Economics
Diabetes mellitus
medicine
Diabetes Mellitus
Humans
Aged
Retrospective Studies
Inpatients
Health economics
business.industry
lcsh:R
Cognitive Psychology
Infant
Newborn
Biology and Life Sciences
Infant
Length of Stay
medicine.disease
Health Care
Health Care Facilities
Metabolic Disorders
Indians
North American
Cognitive Science
Indian language
lcsh:Q
business
Demography
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 13, Iss 8, p e0195476 (2018)
ISSN: 1932-6203
Popis: Objective The objective of this study was to identify risk factors for 30-day readmission events for American Indian patients with diabetes in the southwest. Research design and methods Data from patients with diabetes admitted to Gallup Indian Medical Center between 2009 and 2016 were analyzed using logistic regression analyses. Results Of 2,660 patients, 394 (14.8%) patients had at least one readmission within 30 days of discharge. Older age (OR (95% CI) = 1.26, (1.17, 1.36)), longer length of stay (OR (95% CI) = 1.01, (1.0001, 1.0342)), and a history of substance use disorder (OR (95% CI) = 1.80, (1.25, 2.60)) were risk factors for 30-day readmission. An American Indian language preference was protective against readmission. Conclusions Readmission events are complex and may reflect broad and interwoven disparities in community systems. Future research should work to support community-defined interventions to address both in hospital and external factors that impact risk factors for readmission.
Databáze: OpenAIRE
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