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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

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

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.

Suggested Citation

  • Caroline King & Sidney Atwood & Mia Lozada & Adrianne Katrina Nelson & Chris Brown & Samantha Sabo & Cameron Curley & Olivia Muskett & Endel John Orav & Sonya Shin, 2018. "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," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0195476
    DOI: 10.1371/journal.pone.0195476
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    References listed on IDEAS

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    1. Jones, D.S., 2006. "The persistence of American Indian health disparities," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2122-2134.
    2. Jiang, H.J. & Andrews, R. & Stryer, D. & Friedman, B., 2005. "Racial/ethnic disparities in potentially preventable readmissions: The case of diabetes," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1561-1567.
    3. Frank, J.W. & Moore, R.S. & Ames, G.M., 2000. "Historical and cultural roots of drinking problems among American Indians," American Journal of Public Health, American Public Health Association, vol. 90(3), pages 344-351.
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