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Table 3 Co-variates associated with short-term and chronic high-impact groups in different regions

From: Regional variations in trajectories of long-term readmission rates among patients in England with heart failure

Short-term high-impact

OR [95% CI]

Chronic high-impact

OR [95% CI]

London

 Stroke^

4.39 [2.51–7.69]

Chronic renal disease+

11.82 [6.05–23.10]

 Anaemia^

4.26 [2.56–7.10]

Diabetes+

8.76 [5.05–15.18]

 Chronic renal disease*

4.01 [2.23–7.24]

Valvular heart disease+

5.81 [3.39–9.97]

 Valvular heart disease*

3.06 [1.84–5.10]

Stroke+

5.64 [3.16–10.07]

 Chronic respiratory disease*

2.86 [1.75–4.66]

Chronic respiratory disease+

4.62 [2.64–8.08]

  

Female sex*

2.89 [1.68–4.95]

  

Anaemia*

2.75 [1.65–4.57]

East of England

 Anaemia*

8.33 [3.56–19.49]

  

North-East

 Congenital heart disease*

3.74 [2.27–6.17]

Hypertension+

14.88 [8.00–27.66]

 Chronic renal disease+

3.00 [2.64–3.42]

Cardiac arrhythmia+

6.17 [5.00–7.61]

 Dementia+

2.86 [2.46–3.32]

Mood disorder+

5.81 [4.62–7.32]

 Cardiac arrhythmia+

2.75 [2.41–3.13]

Chronic respiratory disease+

5.31 [4.18–6.75]

 Hypertension+

2.59 [2.16–3.10]

Chronic renal disease+

4.90 [3.97–6.05]

 Mood disorder+

2.51 [2.12–2.97]

Anaemia+

4.14 [3.39–5.05]

 Chronic respiratory disease+

2.32 [2.03–2.64]

Dementia+

3.86 [2.97–5.00]

 Anaemia+

2.23 [1.95–2.53]

Pulmonary embolism^

2.66 [1.86–3.82]

 Valvular heart disease+

2.12 [1.84–2.44]

Diabetes+

2.44 [1.99–2.97]

 Stroke+

1.65 [1.49–1.82]

Stroke+

2.29 [1.88–2.80]

 Atrial fibrillation*

1.35 [1.22–1.49]

Atrial fibrillation+

2.18 [1.75–2.72]

 Older age+

0.74 [0.69–0.79]

Marital problems*

2.18 [1.52–3.13]

 HF diagnosis as an inpatient^

0.61 [0.51–0.72]

Valvular heart disease^

2.12 [1.73–2.59]

  

Peripheral vascular disease*

1.82 [1.43–2.32]

  

Ischaemic heart disease*

1.58 [1.28–1.95]

  

Exercise recommendation by GP*

1.55 [1.25–1.93]

  

History of flu vaccination+

1.52 [1.25–1.86]

  

Older age+

0.41 [0.37–0.46]

North-West

 Hypertension+

5.64 [3.42–9.30]

Older age*

0.43 [0.31–0.59]

 Mood disorder+

3.29 [2.32–4.66]

Number of patients with increased out-of-hours GP visits (>90th percentile) ^

0.34 [0.23–0.50]

 Dementia^

3.13 [2.16–4.53]

GP visit for renal function monitoring*

0.31 [0.19–0.51]

 Cardiac arrhythmia^

2.83 [2.10–3.82]

HF diagnosis as an inpatient+

0.19 [0.13–0.28]

 Chronic renal disease^

2.46 [1.82–3.32]

  

 Anaemia^

2.39 [1.77–3.22]

  

 Chronic respiratory disease*

2.20 [1.63–2.97]

  

 History of flu vaccination*

2.12 [1.54–2.92]

  

 Older age*

0.48 [0.33–0.68]

  

 HF diagnosis as an inpatient*

0.41 [0.27–0.61]

  

South-Central

 Chronic respiratory disease^

5.93 [3.63–9.68]

Hypertension^

0.31 [0.17–0.55]

 Valvular heart disease+

5.75 [3.49–9.49]

Chronic renal disease*

0.22 [0.14–0.37]

 Cardiac arrhythmia^

4.62 [2.64–8.08]

Older age*

0.23 [0.12–0.41]

 Older age^

0.22 [0.13–0.39]

Dementia*

0.19 [0.10–0.37]

  

HF diagnosis as an inpatient+

0.06 [0.03–0.11]

South-East

 Ischaemic heart disease+

17.64 [4.76–65.37]

Chronic renal disease*

4.35 [3.00–6.30]

 Chronic renal disease^

8.76 [4.95–15.49]

Anaemia+

4.14 [2.89–5.93]

 Chronic respiratory disease^

5.53 [3.06–9.97]

Dementia^

3.16 [2.05–4.85]

 Cardiac arrhythmia*

5.16 [3.00–8.85]

Cardiac arrhythmia*

2.61 [1.80–3.78]

  

Chronic respiratory disease+

2.23 [1.55–3.19]

  

GP visit for HF medication review*

0.38 [0.24–0.62]

  

Older age*

0.37 [0.23–0.58]

West-Midlands

 Cardiac arrhythmia+

5.47 [3.49–8.58]

Chronic renal disease+

9.97 [5.21–19.11]

 Hypertension*

4.06 [2.10–7.85]

Cardiac arrhythmia*

5.70 [3.22–10.07]

 Chronic respiratory disease^

3.32 [2.18–5.05]

Stroke^

5.16 [2.94–9.03]

 Female sex*

2.75 [1.73–4.35]

Chronic respiratory disease^

4.62 [2.61–8.17]

 Older age*

0.39 [0.25–0.63]

Older age*

0.26 [0.15–0.47]

South-West

  

History of flu vaccination*

9.03 [3.00–27.11]

  

Chronic respiratory disease*

0.07 [0.02–0.25]

  

Older age*

0.03 [0.01–0.11]

  

HF diagnosis as an inpatient+

0.01 [0.00–0.04]

  1. (* denotes P <  0.05, ^ denotes P <  0.01, + denotes P <  0.001). Age was grouped into categories for use in the model in the following brackets: 18–45, 45–54, 55–64, 65–74, 75–84, and 85 +)