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
Nelson, Adrianne Katrina
Orav, Endel John
AffiliationUniv Arizona, Mel & Enid Zukerman Coll Publ Hlth
Univ Arizona, Hlth Promot Sci Dept
MetadataShow full item record
PublisherPUBLIC LIBRARY SCIENCE
CitationKing C, Atwood S, Lozada M, Nelson AK, Brown C, Sabo S, et al. (2018) 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. PLoS ONE 13(8): e0195476. https://doi.org/10.1371/journal.pone.0195476
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AbstractObjective 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.
NoteOpen access journal.
VersionFinal published version
SponsorsPatient-Centered Outcomes Research Institute (PCORI) [AD1304-6566]; COPE Project; CHAP (the Community Health Advisory Panel); CAG (the COPE Advisory Group)