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Table 4 Association of social worker-assessed psychosocial factors with hospital readmissions among prevalent hemodialysis patients, 2010–2014

From: Association of social worker-assessed psychosocial factors with 30-day hospital readmissions among hemodialysis patients

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)
  1. *Adjusted for age, sex, race, duration of ESRD, history of diabetes, congestive heart failure, and atherosclerotic diseases, index admission length of stay, and intensive care utilization during index admission