Dialysis facility process of carea | No readmission | Pulmonary edema-related readmission | Other readmission | P |
---|---|---|---|---|
Index admission documented | ||||
% documented | 62.5% | 84.5% | 80.6% | < 0.001 |
Unadjusted OR (95% CI) | ---c | 3.28 (1.79–6.02) | 2.49 (1.50–4.14) | < 0.001/< 0.001 |
Adjustedb OR (95% CI) | ---c | 2.03 (1.07–3.85) | 1.48 (0.87–2.49) | 0.03/0.1 |
% patients with CHF documented in problem list at index discharge (among n = 389 patients with CHF history) | ||||
% yes | 39.9% | 56.5% | 17.2% | 0.001 |
Unadjusted OR (95% CI) | ---c | 1.95 (1.12–3.39) | 0.31 (0.12–0.84) | 0.02/0.02 |
Adjustedb OR (95% CI) | ---c | 1.87 (1.07–3.27) | 0.35 (0.13–0.96) | 0.03/0.04 |
% any labs drawn within 3 sessions after index discharge | ||||
% yes | 65.7% | 83.3% | 81.6% | < 0.001 |
Unadjusted OR (95% CI) | ---c | 2.61 (1.45–4.71) | 2.31 (1.38–3.87) | 0.001/0.002 |
Adjustedb OR (95% CI) | ---c | 1.38 (0.74–2.56) | 1.32 (0.77–2.26) | 0.3/0.3 |
% albumin checked within 3 sessions after index discharge | ||||
% yes | 33.0% | 36.9% | 49.5% | 0.004 |
Unadjusted OR (95% CI) | ---c | 1.19 (0.74–1.89) | 1.99 (1.32–3.00) | 0.5/0.001 |
Adjustedb OR (95% CI) | ---c | 0.88 (0.54–1.42) | 1.61 (1.06–2.45) | 0.6/0.03 |
% hemoglobin/hematocrit checked within 3 sessions after index discharge | ||||
% yes | 59.4% | 79.8% | 76.7% | < 0.001 |
Unadjusted OR (95% CI) | ---c | 2.70 (1.56–4.67) | 2.25 (1.40–3.63) | < 0.001/0.001 |
Adjustedb OR (95% CI) | ---c | 1.65 (0.93–2.93) | 1.44 (0.88–2.35) | 0.08/0.1 |
% decrease in post-dialysis weight in the first 3 sessions of at least 0.5 kg | ||||
% yes | 56.6% | 50.0% | 55.3% | 0.5 |
Unadjusted OR (95% CI) | ---c | 0.77 (0.49–1.20) | 0.95 (0.63–1.43) | 0.2/0.8 |
Adjustedb OR (95% CI) | ---c | 0.60 (0.37–0.96) | 1.10 (0.72–1.67) | 0.03/0.7 |
% higher ESA dose ordered in first 3 sessions (among n = 282 with ESA administered) | ||||
% yes | 16.7% | 15.0% | 10.0% | 0.6 |
Unadjusted OR (95% CI) | ---c | 0.88 (0.25–3.16) | 0.56 (0.19–1.66) | 0.8/0.3 |
Adjustedb OR (95% CI) | ---c | 0.88 (0.24–3.27) | 0.57 (0.19–1.71) | 0.8/0.3 |
% any home medication discontinued in first 3 sessions | ||||
% yes | 16.1% | 31.0% | 20.4% | 0.002 |
Unadjusted OR (95% CI) | ---c | 2.33 (1.42–3.84) | 1.33 (0.80–2.23) | 0.001/0.3 |
Adjustedb OR (95% CI) | ---c | 1.81 (1.08–3.05) | 1.20 (0.71–2.02) | 0.02/0.5 |
% any home medication changed in first 3 sessions | ||||
% yes | 27.6% | 41.2% | 21.3% | 0.004 |
Unadjusted OR (95% CI) | ---c | 1.84 (1.19–2.82) | 0.71 (0.45–1.11) | 0.006/0.1 |
Adjustedb OR (95% CI) | ---c | 1.69 (1.06–2.70) | 0.75 (0.47–1.20) | 0.003/0.2 |
% index discharge occurring at facility with current ultrafiltration rate policyd | ||||
% yes | 30.3% | 19.1% | 19.4% | 0.01 |
Unadjusted OR (95% CI) | ---c | 0.55 (0.31–0.96) | 0.56 (0.34–0.93) | 0.04/0.03 |
Adjustedb OR (95% CI) | ---c | 0.75 (0.42–1.36) | 0.80 (0.47–1.35) | 0.3/0.4 |