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Functional Status Is Associated With 30-Day Potentially Preventable Readmissions Following Home Health Care

Erratum

doi: 10.1097/MLR.0000000000001127
Erratum
Free
SDC

An error was made in cohort selection for the study reported in the article “Functional Status is Associated With 30-Day Potentially Preventable Readmissions Following Home Health Care,” which appeared on pages 145–151 in the February 2019 issue of Medical Care.1 The location of some health agencies was misclassified as “outside of the United States,” leading to the erroneous exclusion of individuals receiving care through these agencies. The corrected cohort includes an additional 23,468 individuals (N=1,533,765). All analyses were re-run with the corrected cohort. Although the cohort size increased, a majority of the odds ratios, readmission rates, and corresponding confidence intervals remained the same, with a few values changing by more than 0.01 (odds ratios) or 0.1 (rates). The negligible changes do not impact findings or interpretation of results. The updated figures and tables are provided with the changed values bolded (Fig. 1, http://links.lww.com/MLR/B783, Tables 1–3, http://links.lww.com/MLR/B784, http://links.lww.com/MLR/B785, http://links.lww.com/MLR/B786, Supplemental Digital Content 2, http://links.lww.com/MLR/B787). Corrected values (bold) in the article text are listed below.

ABSTRACT

1. “Participants” section: “1,533,765 Medicare fee-for-service beneficiaries discharged from home health care in 2013-2015. Average age was 75.9 (SD, 10.9) years, 60.0% were female, and 84.0% non-Hispanic white.”

2. “Results” section: “The overall rate of 30-day potentially preventable readmissions was 2.6% (N=40,021), which accounted for 40% of all 30-day readmissions. After adjusting for sociodemographic and clinical characteristics, the odds ratios (OR) for the most dependent score quartile versus the most independent was 1.58 (95% CI: 1.53-1.63) for mobility and 1.65 (95% CI: 1.59-1.69) for self-care. The OR for impaired versus intact cognition was 1.21 (95% CI: 1.18-1.24). The five most common conditions resulting in a potentially preventable readmission were congestive heart failure (23.6%), septicemia (16.8%), bacterial pneumonia (9.8%), chronic obstructive pulmonary disease (9.4%), and renal failure (7.5%).”

METHODS

The final sentence in the “Patient Cohort” section should read: “The final cohort included 1,533,765 individuals discharged from home health agency care.”

RESULTS

1. First paragraph: “The average age of the cohort was 75.9 (SD, 10.9) years, 60.0% were female, and 84.0% were non-Hispanic white. Cohort characteristics are presented in (Table 1, Supplemental Digital Content 2, http://links.lww.com/MLR/B784). The overall rate of any 30-day readmission was 6.5% (N=99,032), and the overall rate of 30-day potentially preventable readmissions was 2.6% (N=40,021).”

2. “Functional Status” section: “After adjusting for patients’ sociodemographic and clinical characteristics, the odds ratios (OR) for the most dependent score quartile versus the most independent quartile was 1.58 (95% CI: 1.53-1.63) for mobility and 1.65 (95% CI: 1.59-1.69) for self-care. Adjusting for cognition had minimal impact (mobility: OR=1.53, 95% CI: 1.49-1.58 and self-care: OR=1.61, 95% CI: 1.56-1.66).”

“After adjusting for sociodemographic and clinical characteristics, the odds ratio for impaired versus intact cognition was 1.21 (95% CI: 1.18-1.24). The association decreased after adjusting for the other functional domains. When adjusted for mobility the odds ratio for impaired versus intact cognition was 1.08 (95% CI: 1.05-1.11). Similarly, when adjusted for self-care, the odds ratio decreased to 1.04 (95% CI: 1.01-1.07).”

3. “Potentially Preventable Conditions” section: “The five most common conditions resulting in potentially preventable readmissions were congestive heart failure (23.6%), septicemia (16.8%), bacterial pneumonia (9.8%), chronic obstructive pulmonary disease (COPD, 9.4%), and renal failure (7.5%).”

DISCUSSION

Sentence in first paragraph should read: “While the overall rate of potentially preventable readmissions was relatively low (2.6%), this represents readmissions for 40,021 individuals that are considered avoidable.”

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REFERENCE

1. Middleton A, Downer B, Haas A, et al. Functional status is associated with 30-day potentially preventable readmissions following home health care. Med Care. 2019;57:145–151.

Supplemental Digital Content

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