Table 2

Frequency of discharge process elements, unadjusted and adjusted* associations between discharge process elements and readmission cohort (readmission cohort compared with non-readmission cohort)

Readmission cohort no. (%) (n=1039)Non-readmission cohort no. (%) (n=981)p-ValueUnadjusted OR95% CIAdjusted OR95% CI
Components of discharge instructions
 Presence of discharge instructions in record750 (72.1)732 (75.0)0.190.970.88 to 1.050.720.41 to 1.26
 Full medication list in discharge instructions734 (70.6)713 (72.7)0.310.920.80 to 1.060.830.54 to 1.27
 Instructions regarding when to hold medications236 (22.7)227 (23.1)0.820.960.82 to 1.130.940.41 to 1.26
 Instructions regarding symptoms requiring medical attention585 (56.3)568 (57.9)0.470.930.80 to 1.080.910.74 to 1.12
 Discharging physician contact information347 (33.4)345 (35.2)0.400.930.82 to 1.060.910.79 to 1.05
 Documentation of family presence for review of discharge instructions242 (23.3)216 (22.0)0.410.860.71 to 1.030.600.36 to 1.01
Discharge summary
 Presence of a discharge summary in record, dated within 7 days following discharge745 (71.7)710 (72.4)0.740.970.72 to 1.311.000.99 to 1.00
 Documentation that summary was sent to primary care physician (among patients with a discharge summary present)450 (43.3)424 (43.2)0.831.050.77 to 1.431.010.72 to 1.43
Discharge summary elements
 Reason for hospitalisation981 (94.4)935 (95.3)0.3640.970.72 to 1.320.960.69 to 1.35
 Hospital course978 (94.1)926 (94.4)0.7981.130.77 to 1.681.080.72 to 1.62
 Procedures performed814 (78.3)782 (79.7)0.4500.940.73 to 1.200.900.69 to 1.67
 Results of procedures766 (73.7)731 (74.5)0.6850.970.79 to 1.190.940.76 to 1.16
Plan of care or plan for follow-up956 (92.0)894 (91.1)0.4761.330.97 to 1.851.310.94 to 1.83
 Full medication list897 (86.3)847 (86.3)0.9961.120.92 to 1.381.080.86 to 1.35
Follow-up
 A follow-up appointment was made by hospital personnel prior to discharge371 (36.1)320 (31.8)0.1441.201.06 to 1.361.211.05 to 1.37
Medications and medication reconciliation
 Documentation of medication reconciliation754 (72.6)752 (76.7)0.0351.130.91 to 1.401.060.79 to 1.44
 Number of medications, mean (SD)10.74 (6.20)9.79 (5.60)0.0011.021.01 to 1.031.021.01 to 1.04
  • * Models adjusted for patient race/ethnicity, age, gender, severity of illness, diagnostic category, discharge disposition, as well as admitting hospital, number of staffed beds and admitting hospital region.

  • Difference testing was conducted with χ2 for categorical predictors and Student's t test for continuous predictors.

  • OR, odds ratio.