TY - JOUR
T1 - Identifying risk factors for 30-day readmission events among American Indian patients with diabetes in the Four Corners region of the southwest from 2009 to 2016
AU - King, Caroline
AU - Atwood, Sidney
AU - Lozada, Mia
AU - Nelson, Adrianne Katrina
AU - Brown, Chris
AU - Sabo, Samantha
AU - Curley, Cameron
AU - Muskett, Olivia
AU - Orav, Endel John
AU - Shin, Sonya
N1 - Funding Information:
This work was supported by the Patient-Centered Outcomes Research Institute (PCORI) (AD1304-6566). www.pcori.org. The funders had no role in the study design, data collection and analysis, or preparation of the manuscript. We would like to thank the COPE Project, CHAP (the Community Health Advisory Panel) and CAG (the COPE Advisory Group) for supporting this work and for their input throughout the entire study. The opinions expressed in this paper are those of the author(s) and do not necessarily reflect the views of the Indian Health Service, the Patient-Centered Outcomes Research Institute, the Patient-Centered Outcomes Research Institute Board of Governors or the Patient-centered Outcomes Research Institute Methodology Committee.
Publisher Copyright:
This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
PY - 2018/8
Y1 - 2018/8
N2 - Objective The objective of this study was to identify risk factors for 30-day readmission events for American Indian patients with diabetes in the southwest. Research design and methods Data from patients with diabetes admitted to Gallup Indian Medical Center between 2009 and 2016 were analyzed using logistic regression analyses. Results Of 2,660 patients, 394 (14.8%) patients had at least one readmission within 30 days of discharge. Older age (OR (95% CI) = 1.26, (1.17, 1.36)), longer length of stay (OR (95% CI) = 1.01, (1.0001, 1.0342)), and a history of substance use disorder (OR (95% CI) = 1.80, (1.25, 2.60)) were risk factors for 30-day readmission. An American Indian language preference was protective against readmission. Conclusions Readmission events are complex and may reflect broad and interwoven disparities in community systems. Future research should work to support community-defined interventions to address both in hospital and external factors that impact risk factors for readmission.
AB - Objective The objective of this study was to identify risk factors for 30-day readmission events for American Indian patients with diabetes in the southwest. Research design and methods Data from patients with diabetes admitted to Gallup Indian Medical Center between 2009 and 2016 were analyzed using logistic regression analyses. Results Of 2,660 patients, 394 (14.8%) patients had at least one readmission within 30 days of discharge. Older age (OR (95% CI) = 1.26, (1.17, 1.36)), longer length of stay (OR (95% CI) = 1.01, (1.0001, 1.0342)), and a history of substance use disorder (OR (95% CI) = 1.80, (1.25, 2.60)) were risk factors for 30-day readmission. An American Indian language preference was protective against readmission. Conclusions Readmission events are complex and may reflect broad and interwoven disparities in community systems. Future research should work to support community-defined interventions to address both in hospital and external factors that impact risk factors for readmission.
UR - http://www.scopus.com/inward/record.url?scp=85051178673&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85051178673&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0195476
DO - 10.1371/journal.pone.0195476
M3 - Review article
C2 - 30070989
AN - SCOPUS:85051178673
SN - 1932-6203
VL - 13
JO - PloS one
JF - PloS one
IS - 8
M1 - e0195476
ER -