Jennifer E. Flythe|Johnathan Hilbert|Abhijit V. Kshirsagar|Constance A. Gilet
Psychosocial Factors and 30-Day Hospital Readmission among Individuals Receiving Maintenance Dialysis: A Prospective Study
Colorado Kidney Care|University of North Carolina Health Care|Colorado Kidney Care|Colorado Kidney Care
thirtyday hospital readmissions common among maintenance dialysis patients prior studies evaluated easily measurable readmission risk factors comorbid conditions laboratory results hospital discharge day undertook prospective study investigate associations hospitalassessed depression health literacy social support selfrated health separately 30day hospital readmission among dialysis patientsparticipants recruited university north carolina hospitals 20142016 validated depression health literacy social support selfrated health screening instruments administered index hospitalizations multivariable logistic regression models 30day readmission dependent outcome used examine readmission risk factorsof 154 participants 58 377 30day hospital readmission unadjusted analyses individuals positive screening depression lower health literacy poorer social support likely 30day readmission vs negative screening positive depression screening poorer social support remained significantly associated 30day readmission models adjusted race heart failure admitting service weekend discharge day serum albumin adjusted 95 ci 233 102515 positive depressive symptoms 257 110591 poorer social support area receiver operating characteristic curve auc multivariable model adjusted social support status significantly greater auc multivariable model without social support status test equality p value 004poor social support depressive symptoms identified hospitalizations may represent targetable readmission risk factors among dialysis patients findings suggest hospitalbased assessments select psychosocial factors may improve readmission risk prediction