Thirty-Day Inpatient Readmissions for Asian American and Pacific Islander Subgroups Compared With Whites

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...

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Bibliographic Details
Published in:Medical care research and review 2018-02, Vol.75 (1), p.100-126
Main Authors: Sentell, Tetine, Ahn, Hyeong Jun, Miyamura, Jill, Taira, Deborah A.
Format: Article
Language:English
Subjects:
Adult
Age differences
Age Factors
Aged
Asian - statistics & numerical data
Asian American people
Asian Americans
Comorbidity
Confidence intervals
Discharge
Female
Geriatrics
Hawaii
Health disparities
Health information
Hospitalization
Humans
Inpatients - statistics & numerical data
Male
Men
Middle Aged
Native Hawaiian or Other Pacific Islander - statistics & numerical data
Older people
Pacific Islander people
Patient Readmission - statistics & numerical data
Philippino
Residence
Sex Factors
Subgroups
Subpopulations
White people
White People - statistics & numerical data
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Summary: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.
ISSN:1077-5587
1552-6801
DOI:10.1177/1077558716676595