Unadjusted and adjusted ORs of 30-day readmission in Black patients with cardiovascular disease, Duke Heart Center (n=239)
| Unadjusted | Adjusted | |||||
| OR | (95% CI) | P value | OR | (95% CI) | P Value | |
| Age | 0.98 | (0.95 to 1.01) | 0.293 | – | – | |
| Female | 0.78 | (0.45 to 1.36) | 0.385 | – | – | |
| Educational level | ||||||
| High school education or more | 1.00 | – | – | |||
| Less than high school education | 0.83 | (0.41 to 1.70) | 0.614 | – | – | |
| Employment status | ||||||
| Currently employed | 1.00 | 1.00 | ||||
| Not employed | 1.98 | (0.77 to 5.10) | 0.158 | 2.24 | (0.80 to 6.24) | 0.124 |
| Retired | 1.70 | (0.91 to 3.16) | 0.096 | 3.71 | (1.71 to 8.07) | 0.001 |
| Health insurance coverage | ||||||
| Currently insured | 1.00 | – | – | |||
| Medicaid-only | 1.19 | (0.55 to 2.60) | 0.662 | – | – | |
| No insurance | 1.36 | (0.42 to 4.42) | 0.604 | – | – | |
| Marital status | ||||||
| Currently married | 1.00 | 1.00 | ||||
| Never married | 1.64 | (0.89 to 3.00) | 0.111 | 2.21 | (1.21 to 4.05) | 0.010 |
| Divorced | 0.67 | (0.29 to 1.53) | 0.341 | 0.56 | (0.23 to 1.38) | 0.206 |
| Widowed | 0.63 | (0.26 to 1.54) | 0.310 | 0.44 | (0.16 to 1.21) | 0.110 |
| Social support | 1.00 | (0.94 to 1.07) | 0.969 | – | – | |
| Life stressors | 1.00 | (0.89 to 1.13) | 0.972 | – | – | |
| CES-D | 1.03 | (0.98 to 1.07) | 0.240 | – | – | |
| Self-efficacy | 1.11 | (0.95 to 1.29) | 0.196 | – | – | |
| Smoking status | ||||||
| Never smoked | 1.00 | – | – | |||
| Current or former smoker | 0.92 | (0.55 to 1.53) | 0.745 | – | – | |
| Alcohol consumption | 0.85 | (0.58 to 1.23) | 0.379 | – | – | |
| Medication adherence | ||||||
| Adherence to medication | 1.00 | – | – | |||
| Non-adherence to medication | 0.86 | (0.49 to 1.53) | 0.601 | – | – | |
| Access to routine care | ||||||
| Adequate access | 1.00 | 1.00 | ||||
| Difficult access | 2.64 | (1.61 to 4.35) | <0.001 | 2.88 | (1.70 to 4.88) | <0.001 |
| Admissions in the past year | ||||||
| No admissions | 1.00 | 1.00 | ||||
| 1+admissions | 1.81 | (1.09 to 3.02) | 0.023 | 1.97 | (1.16 to 3.37) | 0.013 |
| Length of index hospital stay (days) | ||||||
| Average stay | 1.00 | – | – | |||
| Short stay | 0.40 | (0.18 to 0.89) | 0.024 | – | – | |
| Long stay | 0.91 | (0.49 to 1.67) | 0.754 | – | – | |
| Body mass index | 0.97 | (0.93 to 1.01) | 0.133 | – | – | |
| ADL | 0.99 | (0.92 to 1.06) | 0.796 | – | – | |
| Diagnosed conditions | ||||||
| Hypertension | 1.29 | (0.85 to 1.96) | 0.222 | – | – | |
| Hyperlipidaemia | 0.84 | (0.42 to 1.66) | 0.613 | – | – | |
| Diabetes | 0.86 | (0.38 to 1.94) | 0.710 | – | – | |
| Acute MI | 0.67 | (0.32 to 1.44) | 0.305 | – | – | |
| Heart failure | 0.83 | (0.46 to 1.52) | 0.550 | – | – | |
| Atrial fibrillation | 1.88 | (0.95 to 3.75) | 0.071 | – | – | |
Note: P values are based on logistic regression models for both unadjusted and adjusted ORs. Results from the adjusted model were derived using backward stepwise-selection procedures.
ADL, activities of daily living; CES-D, Centre for Epidemiological Studies Depression Scale; MI, myocardial infarction.