Compared with Whites, 30-day potentially preventable readmissions were significantly higher for some API subpopulations aged ≥65 years, including Native Hawaiian men (OR 1.14; 95% CI 1.04-1.24).
Observational (n=495,910)
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Do 30-day potentially preventable readmission rates differ between Asian American/Pacific Islander subgroups and Whites?
Elderly Asian American and Pacific Islander subgroups, particularly Native Hawaiian, Filipino, and other Pacific Islander men, have significantly higher odds of 30-day potentially preventable readmissions compared with Whites.
Estimación del efecto: OR 1.14 (95% CI 1.04-1.24)
Asian and Pacific Islander (API) 30-day potentially preventable readmissions (PPRs) are understudied. Hawaii Health Information Corporation data from 2007-2012 statewide adult hospitalizations ( N = 495,910) were used to compare API subgroup and White PPRs. Eight percent of hospitalizations were PPRs. Seventy-two percent of other Pacific Islanders, 60% of Native Hawaiians, and 52% of Whites with a PPR were 18 to 64 years, compared with 22% of Chinese and 21% of Japanese. In multivariable models including payer, hospital, discharge year, residence location, and comorbidity, PPR disparities existed for some API subpopulations 65+ years, including Native Hawaiian men (odds ratio OR = 1.14; 95% confidence interval CI = 1.04-1.24), Filipino men (OR = 1.19; 95% CI = 1.04-1.38), and other Pacific Islander men (OR = 1.30; 95% CI = 1.19-1.43) and women (OR = 1.23; 95% CI = 1.02-1.51) compared with Whites, while many API groups 18 to 64 years had significantly lower PPR odds. Distinct PPR characteristics across API subpopulations and age groups can inform policy and practice. Further research should determine why elderly API have higher PPR rates, while nonelderly rates are lower.
Sentell et al. (Fri,) conducted a observational in 30-day potentially preventable readmissions (n=495,910). Asian and Pacific Islander (API) subgroups vs. Whites was evaluated on 30-day potentially preventable readmissions (OR 1.14, 95% CI 1.04-1.24). Compared with Whites, 30-day potentially preventable readmissions were significantly higher for some API subpopulations aged ≥65 years, including Native Hawaiian men (OR 1.14; 95% CI 1.04-1.24).