Psychosocial domain/factor | No. (%) readmitted within 30 days | OR (95% CI) for readmission | |
---|---|---|---|
Unadjusted | Adjusted* | ||
Mental health | |||
History of substance abuse | |||
Overall | 147/680 (21.6%) | – | – |
No | 125/590 (21.2%) | 1.00 (referent) | 1.00 (referent) |
Yes | 22/90 (24.4%) | 1.20 (0.72–2.02) | 1.29 (0.75–2.23) |
Depression or anxiety | |||
Overall | 145/666 (21.8%) | – | – |
No | 124/552 (22.5%) | 1.00 (referent) | 1.00 (referent) |
Yes | 21/114 (18.4%) | 0.78 (0.47–1.30) | 0.80 (0.47–1.36) |
Social support | |||
Marital status | |||
Overall | 151/686 (22.0%) | – | – |
Married/domestic partner | 40/213 (18.8%) | 1.00 (referent) | 1.00 (referent) |
Never married | 59/239 (24.7%) | 1.42 (0.90–2.23) | 1.38 (0.84–2.27) |
Widowed/divorced/separated | 52/234 (22.2%) | 1.24 (0.79–1.96) | 1.17 (0.73–1.90) |
Lives alone | |||
Overall | 150/688 (21.8%) | – | – |
No | 116/538 (21.6%) | 1.00 (referent) | 1.00 (referent) |
Yes | 34/150 (22.7%) | 1.07 (0.69–1.65) | 1.16 (0.74–1.81) |
Frequency of social support | |||
Overall | 148/673 (22.0%) | – | – |
Daily | 100/469 (21.3%) | 1.00 (referent) | 1.00 (referent) |
Not daily | 48/204 (23.5%) | 1.14 (0.77–1.68) | 1.14 (0.76–1.70) |
Independence | |||
Impaired memory | |||
Overall | 145/678 (21.4%) | – | – |
No | 126/572 (22.0%) | 1.00 (referent) | 1.00 (referent) |
Yes | 19/106 (17.9%) | 0.77 (0.45–1.32) | 0.76 (0.44–1.32) |
Employment status | |||
Overall | 116/542 (21.4%) | – | – |
Unemployed | 43/185 (23.2%) | 1.00 (referent) | 1.00 (referent) |
Disabled | 67/314 (21.3%) | 0.90 (0.58–1.38) | 0.80 (0.49–1.32) |
Employed | 6/43 (14.0%) | 0.54 (0.21–1.35) | 0.54 (0.20–1.45) |
Type of Housing | |||
Overall | 148/678 (21.8%) | – | – |
Community-dwelling | 135/623 (21.7%) | 1.00 (referent) | 1.00 (referent) |
Assisted living/nursing home | 13/55 (23.6%) | 1.12 (0.58–2.14) | 1.07 (0.52–2.17) |
Ambulatory assistance | |||
Overall | 147/683 (21.8%) | – | – |
No | 92/405 (22.7%) | 1.00 (referent) | 1.00 (referent) |
Yes | 55/278 (19.8%) | 0.84 (0.58–1.22) | 0.75 (0.48–1.16) |
Ease of adherence | |||
Coming to dialysis | |||
Overall | 114/517 (22.1%) | – | – |
Easy | 92/397 (23.2%) | 1.00 (referent) | 1.00 (referent) |
Difficult | 22/120 (18.3%) | 0.74 (0.44–1.25) | 0.75 (0.44–1.27) |
Completing dialysis | |||
Overall | 112/513 (21.8%) | – | – |
Easy | 85/387 (22.0%) | 1.00 (referent) | 1.00 (referent) |
Difficult | 27/126 (21.4%) | 0.97 (0.59–1.58) | 0.98 (0.59–1.62) |
Taking medications | |||
Overall | 118/527 (22.4%) | – | – |
Easy | 98/441 (22.2%) | 1.00 (referent) | 1.00 (referent) |
Difficult | 20/86 (23.3%) | 1.06 (0.61–1.84) | 1.04 (0.59–1.82) |
Adhering to diet restrictions | |||
Overall | 115/523 (22.0%) | – | – |
Easy | 69/332 (20.8%) | 1.00 (referent) | 1.00 (referent) |
Difficult | 46/191 (24.1%) | 1.21 (0.79–1.85) | 1.20 (0.78–1.85) |
Adhering to fluid restrictions | |||
Overall | 115/519 (22.2%) | – | – |
Easy | 75/358 (21.0%) | 1.00 (referent) | 1.00 (referent) |
Difficult | 40/161 (24.8%) | 1.25 (0.80–1.93) | 1.22 (0.78–1.92) |