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Table 3 Association of self-reported post-discharge pain status with 30-day rehospitalization: TRACE-CORE, 2011–2013

From: Non-specific pain and 30-day readmission in acute coronary syndromes: findings from the TRACE-CORE prospective cohort

Pain condition

Incidence of 30-day rehospitalization

Model 1a: Unadjusted

Model 2b: Adjusted for baseline characteristics

Model 3c: Model 2 further adjusted for self-reported chest pain

n/N (%)

OR (95% CI)

P value

OR (95% CI)

P value

OR (95% CI)

P value

No pain

21/285 (7.4)

Reference

 

Reference

 

Reference

 

Mild to moderate pain

55/448 (12.3)

1.76 (1.04–2.98)

0.04

1.84 (1.05–3.24)

0.03*

1.43 (0.78–2.60)

0.25

Severe pain

11/54 (20.4)

3.22 (1.45–7.14)

 < 0.01*

3.16 (1.32–7.54)

0.01*

2.59 (1.06–6.35)

0.04*

  1. Patient-self-reported pain status was collected for the first month after discharge from index hospitalization (using SF-36 survey distributed at one month post-discharge)
  2. TRACE-CORE Transitions, Risks, and Actions in Coronary Events Center for Outcomes Research and Education
  3. aModel 1: logistic regression, unadjusted for covariates
  4. bModel 2: multivariable logistic regression, adjusted for age, sex, smoking status, acute coronary syndrome type, comorbidity, patient-self-reported generic pain, and healthcare seeking behaviors reported at index hospitalization
  5. cModel 3: Model 2 further adjusted for patient-report of chest pain, tightness, or angina on the Seattle Angina Questionnaire
  6. *Indicates statistically significant (P < 0.05)