30-Day Readmission among Elderly Medicare Beneficiaries with Type 2 Diabetes

Amit D. Raval, Steve Zhou, Wenhui Wei, Sandipan Bhattacharjee, Raymond Miao, Usha Sambamoorthi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

This study retrospectively assessed rates and risk factors for all-cause hospital readmission among elderly Medicare beneficiaries with type 2 diabetes mellitus (T2DM) aged ≥65 years. Associations between 30-day readmission and patients' demographic, insurance, index hospital, and clinical characteristics; patient complexities specific to the elderly; and health care utilization were examined using multivariable logistic regressions. Of 202,496 elderly Medicare beneficiaries, 52% were female, 76% were white, the mean age was 75.8 years, and 13.2% had all-cause 30-day readmissions. Elderly patients with cognitive impairment (adjusted odds ratio [aOR]=1.06, 95% confidence interval [CI]=1.01-1.12), falls and falls risk (aOR=1.15, 95% CI=1.08-1.22), polypharmacy (aOR=1.20, 95% CI=1.14-1.27), and urinary incontinence (aOR=1.08, 95% CI=1.01-1.15) were at higher risk for all-cause 30-day readmission than their counterparts without these complexities. As elderly-specific complexities are associated with greater risk for readmission, intervention programs to reduce readmission risk among elderly patients with T2DM should be tailored to suit the needs of elderly patients with extensive complexities. (Population Health Management 2015;18:256-264)

Original languageEnglish (US)
Pages (from-to)256-264
Number of pages9
JournalPopulation Health Management
Volume18
Issue number4
DOIs
StatePublished - Aug 1 2015

Fingerprint

Medicare
Type 2 Diabetes Mellitus
Odds Ratio
Confidence Intervals
Patient Readmission
Patient Acceptance of Health Care
Polypharmacy
Urinary Incontinence
Insurance
Logistic Models
Demography
Health
Population

ASJC Scopus subject areas

  • Health Policy
  • Leadership and Management
  • Public Health, Environmental and Occupational Health

Cite this

30-Day Readmission among Elderly Medicare Beneficiaries with Type 2 Diabetes. / Raval, Amit D.; Zhou, Steve; Wei, Wenhui; Bhattacharjee, Sandipan; Miao, Raymond; Sambamoorthi, Usha.

In: Population Health Management, Vol. 18, No. 4, 01.08.2015, p. 256-264.

Research output: Contribution to journalArticle

Raval, Amit D. ; Zhou, Steve ; Wei, Wenhui ; Bhattacharjee, Sandipan ; Miao, Raymond ; Sambamoorthi, Usha. / 30-Day Readmission among Elderly Medicare Beneficiaries with Type 2 Diabetes. In: Population Health Management. 2015 ; Vol. 18, No. 4. pp. 256-264.
@article{1bbf10c3699249059f2c94f883cc9bef,
title = "30-Day Readmission among Elderly Medicare Beneficiaries with Type 2 Diabetes",
abstract = "This study retrospectively assessed rates and risk factors for all-cause hospital readmission among elderly Medicare beneficiaries with type 2 diabetes mellitus (T2DM) aged ≥65 years. Associations between 30-day readmission and patients' demographic, insurance, index hospital, and clinical characteristics; patient complexities specific to the elderly; and health care utilization were examined using multivariable logistic regressions. Of 202,496 elderly Medicare beneficiaries, 52{\%} were female, 76{\%} were white, the mean age was 75.8 years, and 13.2{\%} had all-cause 30-day readmissions. Elderly patients with cognitive impairment (adjusted odds ratio [aOR]=1.06, 95{\%} confidence interval [CI]=1.01-1.12), falls and falls risk (aOR=1.15, 95{\%} CI=1.08-1.22), polypharmacy (aOR=1.20, 95{\%} CI=1.14-1.27), and urinary incontinence (aOR=1.08, 95{\%} CI=1.01-1.15) were at higher risk for all-cause 30-day readmission than their counterparts without these complexities. As elderly-specific complexities are associated with greater risk for readmission, intervention programs to reduce readmission risk among elderly patients with T2DM should be tailored to suit the needs of elderly patients with extensive complexities. (Population Health Management 2015;18:256-264)",
author = "Raval, {Amit D.} and Steve Zhou and Wenhui Wei and Sandipan Bhattacharjee and Raymond Miao and Usha Sambamoorthi",
year = "2015",
month = "8",
day = "1",
doi = "10.1089/pop.2014.0116",
language = "English (US)",
volume = "18",
pages = "256--264",
journal = "Population Health Management",
issn = "1942-7891",
publisher = "Mary Ann Liebert Inc.",
number = "4",

}

TY - JOUR

T1 - 30-Day Readmission among Elderly Medicare Beneficiaries with Type 2 Diabetes

AU - Raval, Amit D.

AU - Zhou, Steve

AU - Wei, Wenhui

AU - Bhattacharjee, Sandipan

AU - Miao, Raymond

AU - Sambamoorthi, Usha

PY - 2015/8/1

Y1 - 2015/8/1

N2 - This study retrospectively assessed rates and risk factors for all-cause hospital readmission among elderly Medicare beneficiaries with type 2 diabetes mellitus (T2DM) aged ≥65 years. Associations between 30-day readmission and patients' demographic, insurance, index hospital, and clinical characteristics; patient complexities specific to the elderly; and health care utilization were examined using multivariable logistic regressions. Of 202,496 elderly Medicare beneficiaries, 52% were female, 76% were white, the mean age was 75.8 years, and 13.2% had all-cause 30-day readmissions. Elderly patients with cognitive impairment (adjusted odds ratio [aOR]=1.06, 95% confidence interval [CI]=1.01-1.12), falls and falls risk (aOR=1.15, 95% CI=1.08-1.22), polypharmacy (aOR=1.20, 95% CI=1.14-1.27), and urinary incontinence (aOR=1.08, 95% CI=1.01-1.15) were at higher risk for all-cause 30-day readmission than their counterparts without these complexities. As elderly-specific complexities are associated with greater risk for readmission, intervention programs to reduce readmission risk among elderly patients with T2DM should be tailored to suit the needs of elderly patients with extensive complexities. (Population Health Management 2015;18:256-264)

AB - This study retrospectively assessed rates and risk factors for all-cause hospital readmission among elderly Medicare beneficiaries with type 2 diabetes mellitus (T2DM) aged ≥65 years. Associations between 30-day readmission and patients' demographic, insurance, index hospital, and clinical characteristics; patient complexities specific to the elderly; and health care utilization were examined using multivariable logistic regressions. Of 202,496 elderly Medicare beneficiaries, 52% were female, 76% were white, the mean age was 75.8 years, and 13.2% had all-cause 30-day readmissions. Elderly patients with cognitive impairment (adjusted odds ratio [aOR]=1.06, 95% confidence interval [CI]=1.01-1.12), falls and falls risk (aOR=1.15, 95% CI=1.08-1.22), polypharmacy (aOR=1.20, 95% CI=1.14-1.27), and urinary incontinence (aOR=1.08, 95% CI=1.01-1.15) were at higher risk for all-cause 30-day readmission than their counterparts without these complexities. As elderly-specific complexities are associated with greater risk for readmission, intervention programs to reduce readmission risk among elderly patients with T2DM should be tailored to suit the needs of elderly patients with extensive complexities. (Population Health Management 2015;18:256-264)

UR - http://www.scopus.com/inward/record.url?scp=84938904211&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938904211&partnerID=8YFLogxK

U2 - 10.1089/pop.2014.0116

DO - 10.1089/pop.2014.0116

M3 - Article

C2 - 25608114

AN - SCOPUS:84938904211

VL - 18

SP - 256

EP - 264

JO - Population Health Management

JF - Population Health Management

SN - 1942-7891

IS - 4

ER -