From: FAM-FACE-SG: a score for risk stratification of frequent hospital admitters
Variable | Unadjusted OR (95% CI) | p-value | Adjusted OR (95% CI) | p-value* |
---|---|---|---|---|
Patient Demographics | ||||
Age | 1.03 (1.02, 1.03) | <0.001 | 1.01 (1.01, 1.017) | <0.001† |
Gender (Male) | 1.05 (0.97, 1.13) | 0.254 | 1.02 (0.93, 1.12) | 0.671 |
Ethnicity | ||||
Others | Baseline | |||
Chinese | 1.14 (1.04, 1.25) | 0.004 | 0.90 (0.70, 1.16) | 0.407 |
Indian | 0.93 (0.81, 1.06) | 0.300 | 1.18 (0.89, 1.59) | 0.249 |
Malay | 1.16 (1.03, 1.30) | 0.015 | 1.04 (0.79, 1.39) | 0.764 |
Indicators of Socioeconomic Status | ||||
Required financial assistance using Medifund | 2.64 (2.02, 3.43) | <0.001 | 1.49 (1.08, 2.04) | 0.015† |
Stayed in a subsidized ward during index admission | 3.07 (2.72, 3.47) | <0.001 | 4.05 (2.54, 6.85) | <0.001† |
Past Healthcare Utilization | ||||
ED visits (6 month before index admission) | 1.47 (1.41,1.53) | <0.001 | 1.15 (1.09, 1.22) | <0.001† |
Specialist Clinic visits (1 year before index admission) | 1.07 (1.06, 1.07) | <0.001 | 1.01 (1.00, 1.02) | 0.088 |
Hospital admissions (1 year before index admission) | 1.77 (1.70, 1.84) | <0.001 | 1.32 (1.26, 1.39) | <0.001† |
Markers of Acute Illness Burden | ||||
Index admission was urgent | 1.45 (1.32, 1.61) | <0.001 | 0.92 (0.73, 1.16) | 0.465 |
Required second line antibiotics during index admission | 1.54 (1.30, 1.80) | <0.001 | 1.07 (0.86, 1.32) | 0.534 |
Required inpatient dialysis during index admission | 5.30 (4.48, 6.27) | <0.001 | 1.72 (1.38, 2.15) | <0.001† |
Required intravenous Furosemide 40 mg and above during index admission | 2.75 (2.40, 3.14) | <0.001 | 1.26 (1.07, 1.48) | 0.005† |
Required isolation during index admission | 1.64 (1.19, 2.22) | 0.002 | 1.19 (0.81, 1.72) | 0.375 |
Length of stay of index admission | 1.02 (1.01, 1.02) | <0.001 | 1.00 (1.00, 1.00) | 0.919 |
Charlson Comorbidity Indexa | 1.41 (1.38, 1.42) | <0.001 | 1.31 (1.28, 1.33) | <0.001† |
Medical Comorbiditiesb | ||||
Stroke | 0.99 (0.72, 1.34) | 0.945 | 0.93 (0.64, 1.34) | 0.712 |
Metastatic Disease | 1.09 (0.97, 1.24) | 0.154 | 1.07 (0.90, 1.28) | 0.43 |
Non-metastatic malignancy | 1.00 (0.90, 1.11) | 0.973 | 0.96 (0.83, 1.11) | 0.569 |
Peripheral Vascular Disease | 1.01 (0.83, 1.23) | 0.904 | 1.10 (0.86, 1.40) | 0.456 |
Heart Failure or Fluid Overload | 1.11 (0.98, 1.24) | 0.093 | 1.00 (0.84,1.19) | 0.978 |
Pressure Ulcer | 1.09 (0.88, 1.34) | 0.435 | 1.14 (0.88,1.48) | 0.307 |
Thromboembolism | 1.21 (1.04, 1.41) | 0.014 | 1.21 (1.00,1.46) | 0.045 |
Spine Fracture | 1.14 (0.90, 1.43) | 0.266 | 1.05 (0.79, 1.38) | 0.743 |
Coronary Heart Disease or Myocardial Infarction | 1.19 (1.07, 1.33) | 0.001 | 1.1 (0.94, 1.29) | 0.225 |
Hip Fracture | 0.93 (0.70, 1.22) | 0.607 | 0.96 (0.69, 1.32) | 0.795 |
Atrial Fibrillation | 1.16 (1.00, 1.33) | 0.042 | 1.1 (0.92, 1.32) | 0.302 |
Epilepsy | 1.02 (0.68, 1.48) | 0.933 | 0.82 (0.51, 1.28) | 0.394 |
Parkinsonism | 1.32 (0.98, 1.74) | 0.062 | 1.43 (1.01, 2.00) | 0.043 |
Anxiety | 0.76 (0.48, 1.16) | 0.229 | 0.57 (0.33, 0.92) | 0.028 |
Bipolar Disorder | 1.13 (0.51, 2.23) | 0.745 | 1.18 (0.48, 2.65) | 0.699 |
Collagen Vascular Disease | 0.85 (0.60, 1.17) | 0.338 | 0.76 (0.51, 1.12) | 0.175 |
Dementia | 0.93 (0.75, 1.16) | 0.537 | 0.91 (0.70, 1.18) | 0.498 |
Hypothyroidism | 0.88 (0.66, 1.15) | 0.352 | 0.93 (0.67, 1.28) | 0.681 |
Chronic Kidney Disease, Stages 1–4 | 1.09 (0.98, 1.21) | 0.095 | 0.97 (0.79, 1.18) | 0.731 |
Chronic Obstructive Pulmonary Disease | 1.01 (0.79, 1.27) | 0.947 | 1.07 (0.80,1.41) | 0.648 |
Osteoarthritis | 0.96 (0.83,1.11) | 0.582 | 0.90 (0.75, 1.07) | 0.223 |
Benign Prostatic Hypertrophy | 0.94 (0.77, 1.12) | 0.489 | 0.95 (0.76,1.18) | 0.619 |
Asthma | 1.11 (0.89, 1.38) | 0.354 | 1.22 (0.93, 1.59) | 0.152 |
Hyperlipidemia | 1.09 (1.00, 1.19) | 0.04 | 0.99 (0.85, 1.14) | 0.868 |
Hypertension | 1.07 (0.99, 1.16) | 0.085 | 0.96 (0.83, 1.11) | 0.587 |
Chronic Kidney Disease Stage 5 or End Stage Renal Failure | 1.13 (1.01, 1.26) | 0.035 | 1.03 (0.83, 1.28) | 0.81 |
Diabetes | 1.07 (0.98, 1.17) | 0.12 | 1.03 (0.90, 1.17) | 0.71 |
History of Alcoholism | 1.24 (0.93, 1.64) | 0.138 | 0.91 (0.64, 1.27) | 0.582 |
Treatment with anti-depressantsc | 4.00 (3.60, 4.44) | <0.001 | 2.33 (2.06, 2.64) | <0.001† |