Prs36 Relationship Between Social Risk Factors and 30-Day Hospital Readmissions in Chronic Obstructive Pulmonary Disease

Abstract

categorized into none (0), mild (1-3), moderate (4-6) or severe limitations (7 and up). Logistical regression was used to assess the association between functional limitations and healthcare utilization. Results: There was a total of 922 HF patients in the dataset. 251(31%) patients had none, 249(27%) had mild, 215(23%) had moderate, 207(19%) had severe functional limitations. For hospital stay, compared with those with no limitations, patients with mild (OR=1.6, 95% CI[1.1-2.5]), moderate (OR=1.6, 95% CI(1.0-2.6)], and severe limitations (OR=3.8 ,95% CI[2.5-5.7]) were more likely to be hospitalized at least once. For multiple hospital stays, patients with mild (OR=3.6, 95% CI[1.6-8.5]), moderate (OR=2.1, 95% CI(1.0-4.7)], and severe limitations (OR=3.6,95% CI[1.6-8.4]) were more likely to have $2 hospital admissions than those with no limitations. For outpatient visits, patients with mild (OR=2.0, 95% CI[1.1-3.6]), moderate (OR=2.5, 95% CI(1.3-4.8)], and severe limitations (OR=2.0,95% CI[1.1-3.8]) were more likely to have $4 outpatient visits than those with no limitations. Conclusions: Among older adults with HF, any degree of functional limitations is associated with higher utilization of healthcare. Future studies should investigate what aspects of functional limitations are predictors of higher utilization of healthcare and if any of these risk factors can be modified.