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

Caroline King, Sidney Atwood, Mia Lozada, Adrianne Katrina Nelson, Chris Brown, Samantha J Sabo, Cameron Curley, Olivia Muskett, Endel John Orav, Sonya Shin

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
Article numbere0195476
JournalPLoS One
Volume13
Issue number8
DOIs
StatePublished - Aug 1 2018

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North American Indians
American Indians
Medical problems
diabetes
risk factors
Logistics
Substance-Related Disorders
Length of Stay
Research Design
Language
Logistic Models
Regression Analysis
methodology

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

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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. / King, Caroline; Atwood, Sidney; Lozada, Mia; Nelson, Adrianne Katrina; Brown, Chris; Sabo, Samantha J; Curley, Cameron; Muskett, Olivia; Orav, Endel John; Shin, Sonya.

In: PLoS One, Vol. 13, No. 8, e0195476, 01.08.2018.

Research output: Contribution to journalReview article

King, Caroline ; Atwood, Sidney ; Lozada, Mia ; Nelson, Adrianne Katrina ; Brown, Chris ; Sabo, Samantha J ; Curley, Cameron ; Muskett, Olivia ; Orav, Endel John ; Shin, Sonya. / 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. In: PLoS One. 2018 ; Vol. 13, No. 8.
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abstract = "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.",
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AU - Nelson, Adrianne Katrina

AU - Brown, Chris

AU - Sabo, Samantha J

AU - Curley, Cameron

AU - Muskett, Olivia

AU - Orav, Endel John

AU - Shin, Sonya

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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.

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