Association between GCD at discharge and readmission in 30 days
| Outcome* | GCD type at discharge from acute care | ||
|---|---|---|---|
| No./total (%) | Unadjusted relative risk (95% CI) | Adjusted relative risk (95% CI) | |
| Hospital readmission from any discharge location in 30 days† | |||
| Resuscitative care | 26/168 (15.5) | Ref. | Ref. |
| Medical care | 47/219 (21.5) | 1.05 (0.99–1.12) | 1.05 (0.97–1.20) |
| Comfort care | 2/33 (6.1) | 0.92 (0.84–1.01) | 1.00 (0.85–1.19) |
| No GCD | 1/17 (5.9) | 0.92 (0.82–1.00) | 0.90 (0.80–1.01) |
| Hospital readmission from home only in 30 days‡ | |||
| Resuscitative care | 23/134 (17.2) | Ref. | Ref. |
| Medical care | 39/154 (25.3) | 1.07 (0.99–1.16) | 1.06 (0.98–1.16) |
| Comfort care | 1/5 (20.0) | 1.02 (0.76–1.38) | 1.01 (0.74–1.36) |
| No GCD | 1/16 (6.3) | 0.91 (0.80–1.03) | 0.91 (0.80–1.03) |
Note: CI = confidence interval, GCD = Goals of Care Designation, Ref. = reference category.
↵* Compared with participants with a resuscitative GCD.
↵† Modified Poisson regression model adjusted for discharge location, age at enrolment, sex, race and ethnicity (white v. other), Clinical Frailty Scale score (well, mildly frailty, severely frail), weighted Charlson Comorbidity Index score (low, moderate–high), and city.
↵‡ Modified Poisson regression model adjusted for age at enrolment, sex, race and ethnicity (white v. other), Clinical Frailty Scale score (well, mildly frail, severely frail), weighted Charlson Comorbidity Index score (low, moderate–high) and city.