Table 2: Factors associated with death within 30 days after hospital readmission
FactorAdjusted OR* (95% CI)
Age, yr†
  < 65 (ref)1.00
  65–741.26 (1.23–1.30)
  75–841.49 (1.43–1.55)
  ≥ 852.05 (1.90–2.21)
Sex
  Female (ref)1.00
  Male1.15 (1.13–1.16)
Neighbourhood household income‡
  Highest quintile (ref)1.00
  Next to highest quintile0.99 (0.96–1.03)
  Middle quintile1.01 (0.98–1.04)
  Next to lowest quintile1.03 (0.98–1.09)
  Lowest quintile1.01 (0.98–1.05)
Admissions to hospital in previous year†
  1 (ref)1.00
  ≥ 21.11 (1.09–1.14)
Physician clinic visits in previous year†
  ≤ 6 (ref)1.00
  ≥ 70.97 (0.94–1.00)
Charlson Comorbidity Index†
  ≤ 1 (ref)1.00
  ≥ 21.87 (1.80–1.94)
Primary length of stay† longer than cohort median
  No (ref)1.00
  Yes1.20 (1.17–1.23)
Hospital-free interval† longer than cohort median
  No (ref)1.00
  Yes1.03 (1.00–1.05)
Residence in chronic care facility at readmission
  No (ref)1.00
  Yes1.31 (1.25–1.37)
Most responsible diagnosis for readmission§
  Cardiac arrest7.23 (5.70–9.18)
  Malignant neoplasm3.57 (3.16–4.03)
  Sepsis3.10 (2.72–3.53)
  Liver disease2.29 (2.03–2.59)
  Pneumonia1.87 (1.69–2.07)
  Nephrolithiasis0.44 (0.41–0.47)
  Nonspecific abdominal pain0.40 (0.36–0.43)
  Nonspecific chest pain0.26 (0.24–0.28)
  Syncope and collapse0.24 (0.22–0.27)
  Prostatic hypertrophy0.24 (0.20–0.29)
  Miscellaneous (ref)1.00
Arrival by ambulance at readmission
  No (ref)1.00
  Yes1.95 (1.88–2.01)
Year of readmission†
  1994–1999 (ref)1.00
  2000–20050.95 (0.92–0.99)
  2006–20100.87 (0.83–0.92)
Sector of secondary hospital
  Community (ref)1.00
  Academic0.70 (0.59–0.82)
Case volume of secondary hospital†
  Lower (ref)1.00
  Higher1.04 (0.86–1.25)

Note: CI = confidence interval, OR = odds ratio, ref = reference group.
*Adjusted for age, sex, neighbourhood average household income, rural residence, year of readmission, Charlson comorbidity index, primary length of stay, most responsible diagnosis at readmission to hospital, arrival by ambulance at readmission, chronic care facility residency at readmission, admission to hospital in previous year, physician clinic visits in previous year, hospital-free interval and secondary hospital case volume and sector.
†Variables were analyzed as continuous data but are presented here in categories to facilitate interpretation.
‡Missing data were coded as such and included in analyses; however, this was uncommon (< 0.003% of all data) and not presented here.
§The 5 diagnostic categories with the greatest effect on mortality and the 5 with the least effect were selected for presentation here. For a full listing, see eTable 8 in Appendix 1.