Session Time: 5:30pm-6:30pm
Presentation Time: 5:30pm-6:30pm
Location: Exhibit Hall E
Early hospital readmission (EHR) is a key negative outcome in kidney transplantation (KT). Socioeconomic (SE) factors are associated with EHR in other contexts, but have not been fully explored in EHR after KT.
METHODS: We studied the association between EHR and demographic, SE, and clinical factors in 227 KT patients at our center from 2012-13. SE factors were: marriage, number of caregivers, drive time to center, education, financial concerns, fixed income, and insurance coverage. Variables were tested univariately for association with EHR using χ² and t-tests. Variables with p<0.1 were included in a multivariate logistic regression model.
RESULTS: EHR rate was 73/227 (32%). Univariate results are summarized in Table 1. SE factors were not associated with EHR; two clinical factors were: longer length of stay (LOS) (16.2 vs 10.8 d, p<0.01) and higher rate of prior transplant (29% vs 13%, p<0.01). Patients with EHR trended toward more caregivers (2.2 vs 1.9, p=0.08, counterintuitively), older age (54.2 vs 50.5 y, p=0.09), and more dialysis years (7.9 vs 2.0, p=0.06). Variables with higher rates but non-significant p-values in EHR patients were: high school or less education, Hepatitis C virus infection (HCV), and history of intravenous drug use (IVDU). A multivariate model of EHR using variables with p<0.1 association is summarized in Table 2. Number of caregivers was not significant with odds ratio (OR) 95% confidence interval (CI) 0.9281.2531.692. Older age had a significant OR 95% CI 1.0031.3081.705 (p=0.048).
CONCLUSION: There was no evidence of association between socioeconomic factors and EHR at our center.
|Gender (% F)||47%||44%||0.8|
|Race (% white)||58%||49%||0.3|
|Drive time to center (min)||67||65||0.8|
|High school educated or less||8%||4%||0.4|
|Double insurance coverage||56%||57%||1.0|
|Anti-hypertension drugs (#)||2.3||2.2||0.6|
|Mental health history||32%||26%||0.4|
|Variables||OR 95% CI||p|
|Age (per 10y)||1.0031.3081.705||0.048|
|LOS (per 10d)||0.9531.4632.247||0.08|
To cite this abstract in AMA style:Lin J, King E, Craig-Shapiro R, Wickliffe C, Massie A, Segev D. Socioeconomic Factors and Early Hospital Readmission After Kidney Transplant at a Single Center [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/socioeconomic-factors-and-early-hospital-readmission-after-kidney-transplant-at-a-single-center/. Accessed September 30, 2020.
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