Table 5 Association of social worker-assessed psychosocial factors with pulmonary edema-related and other hospital readmissions, vs. no readmissions, among prevalent hemodialysis patients, 2010–2014
Psychosocial domain/factor | Unadjusted OR (95% CI) | |
|---|---|---|
Pulmonary edema-related readmission vs. no readmission | Other readmission vs. no readmission | |
Mental health | ||
History of substance abuse | ||
No | 1.00 (referent) | 1.00 (referent) |
Yes | 1.00 (0.41–2.45) | 1.30 (0.72–2.35) |
Depression or anxiety | ||
No | 1.00 (referent) | 1.00 (referent) |
Yes | 0.67 (0.28–1.63) | 0.83 (0.46–1.51) |
Social support | ||
Marital status | ||
Married/domestic partner | 1.00 (referent) | 1.00 (referent) |
Never married | 1.36 (0.63–2.93) | 1.44 (0.86–2.43) |
Widowed/divorced/separated | 1.35 (0.62–2.90) | 1.19 (0.69–2.04) |
Lives alone | ||
No | 1.00 (referent) | 1.00 (referent) |
Yes | 0.65 (0.28–1.50) | 1.28 (0.79–2.07) |
Frequency of social support | ||
Overall | – | – |
Daily | 1.00 (referent) | 1.00 (referent) |
Not daily | 1.11 (0.58–2.11) | 1.15 (0.73–1.81) |
Independence | ||
Impaired memory | ||
No | 1.00 (referent) | 1.00 (referent) |
Yes | 1.05 (0.48–2.33) | 0.65 (0.33–1.26) |
Employment status | ||
Overall | – | – |
Unemployed | 1.00 (referent) | 1.00 (referent) |
Disabled | 0.27 (0.03–2.15) | 0.66 (0.24–1.83) |
Employed | 0.90 (0.45–1.82) | 0.89 (0.54–1.49) |
Type of Housing | ||
Community-dwelling | 1.00 (referent) | 1.00 (referent) |
Assisted living/nursing home | 2.45 (1.07–5.58) | 0.60 (0.23–1.55) |
Ambulatory assistance | ||
No | 1.00 (referent) | 1.00 (referent) |
Yes | 1.23 (0.67–2.26) | 0.70 (0.45–1.10) |
Ease of adherence | ||
Coming to dialysis | ||
Easy | 1.00 (referent) | 1.00 (referent) |
Difficult | 1.00 (0.46–2.19) | 0.63 (0.33–1.20) |
Completing dialysis | ||
Easy | 1.00 (referent) | 1.00 (referent) |
Difficult | 1.34 (0.64–2.83) | 0.81 (0.45–1.48) |
Taking medications | ||
Easy | 1.00 (referent) | 1.00 (referent) |
Difficult | 1.17 (0.50–2.78) | 1.01 (0.53–1.93) |
Adhering to diet restrictions | ||
Easy | 1.00 (referent) | 1.00 (referent) |
Difficult | 1.30 (0.65–2.59) | 1.17 (0.71–1.92) |
Adhering to fluid restrictions | ||
Easy | 1.00 (referent) | 1.00 (referent) |
Difficult | 1.67 (0.83–3.35) | 1.08 (0.64–1.82) |