Incidence rate ratio (95% CI) | |||||
---|---|---|---|---|---|
Outcome | Model 1: adjusted for demographics* | Model 2: adjusted for variables in model 1 and socioeconomic factors† | Model 3: adjusted for variables in model 2 and ACSC-predisposing comorbidity | Model 4: adjusted for variables in model 3 and non-ACSC-predisposing comorbidity‡ and substance abuse disorders | Model 5: adjusted for variables in model 4 and PCP visits in the previous year |
Any ACSC | 2.35 (2.32 to 2.37)‡ | 2.27 (2.25 to 2.29)‡ | 1.53 (1.51 to 1.54)‡ | 1.45 (1.43 to 1.46)‡ | |
Type of ACSC | |||||
Chronic ACSCs | |||||
Angina | 2.03 (1.99 to 2.08)‡ | 2.00 (1.96 to 2.05)‡ | 1.77 (1.73 to 1.81)§‡ | 1.52 (1.49 to 1.56)‡ | 1.35 (1.32 to 1.38)‡ |
COPD/asthma exacerbation | 3.17 (3.09 to 3.24)‡ | 2.97 (2.90 to 3.04)‡ | 1.88 (1.84 to 1.93)¶‡ | 1.66 (1.62 to 1.70)‡ | 1.61 (1.57 to 1.65)‡ |
CHF exacerbation | 1.72 (1.67 to 1.76)‡ | 1.67 (1.62 to 1.71)‡ | 1.22 (1.19 to 1.25)**‡ | 1.09 (1.06 to 1.12)‡ | 1.06 (1.03 to 1.09)‡ |
Diabetes related | 2.88 (2.79 to 2.98)‡ | 2.66 (2.57 to 2.75)‡ | 1.83 (1.77 to 1.89)††‡ | 1.86 (1.80 to 1.93)‡ | 1.69 (1.63 to 1.75)‡ |
HTN | 1.52 (1.48 to 1.57)‡ | 1.48 (1.44 to 1.53)‡ | 1.37 (1.33 to 1.41)‡‡‡ | 1.30 (1.26 to 1.34)‡ | 1.18 (1.14 to 1.21)‡ |
Acute ACSCs | |||||
Appendicitis with perforation | 1.31 (1.25 to 1.37)‡ | 1.31 (1.25 to 1.37)‡ | 1.26 (1.21 to 1.33)‡ | 1.21 (1.16 to 1.27)‡ | |
Pneumonia | 2.35 (2.33 to 2.38)‡ | 2.29 (2.27 to 2.32)‡ | 1.55 (1.53 to 1.56)‡ | 1.50 (1.48 to 1.52)‡ | |
UTI | 2.38 (2.34 to 2.42)‡ | 2.34 (2.31 to 2.38)‡ | 1.74 (1.71 to 1.77)‡ | 1.63 (1.60 to 1.66)‡ |
*Age, sex and calendar period.
†Educational level and marital status.
‡Charlson comorbidity index diagnoses not previously adjusted for.
§Adjusted for myocardial infarction.
¶Adjusted for chronic pulmonary disease.
**Adjusted for CHF.
††Adjusted for diabetes mellitus.
‡‡Adjusted for myocardial infarction, CHF, cerebrovascular disease and peripheral vascular disease.
‡p<0.001. ACSC, ambulatory care-sensitive condition; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; HTN, hypertension; PCP, primary care physician; UTI, urinary tract infection.