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Table 3 Association of caregiver and patient characteristics with rehospitalization 3–12 months post-stroke

From: Dyadic approach to post-stroke hospitalizations: role of caregiver and patient characteristics

 

Reference category (if applicable)

IRR (95% CI)

P-value

aIRRa (95% CI)

P-value

CAREGIVER FACTORS

 Age (in years)

 

0.983 (0.968, 0.998)

0.028

  

 Gender

Male

1.043 (0.640¸ 1.698)

0.866

  

 Ethnicity

Non-Chinese

0.792 (0.525, 1.195)

0.266

  

 Marital Status

Single

0.649 (0.414, 1.017)

0.059

  

 Caregiver relationship

Spouse

 

<0.001

 

0.032

 Child

 

2.957 (1.906, 4.588)

2.896 (1.399, 5.992)

 Sibling

 

1.368 (0.420, 4.453)

0.952 (0.193, 4.687)

 Others

 

1.609 (0.676, 3.832)

1.435 (0.416, 4.953)

 Comorbid Conditions

None

 

<0.001

  

  1

 

0.842 (0.480, 1.477)

 

  2

 

2.500 (1.491, 4.193)

 

  ≥ 3

 

0.545 (0.197, 1.509)

 

 Co-residing with patient

No

0.841 (0.458, 1.544)

0.576

  

 Caring for multiple care recipients

No

1.726 (1.142, 2.608)

0.010

  

 Memory problems

 

1.026 (0.995, 1.058)

0.106

  

 Depressive behavior problems

 

1.026 (0.989, 1.065)

0.173

  

 Disruptive behavior problems

 

0.999 (0.944, 1.058)

0.986

  

 Oberst Caregiving Burden Scale

 

1.021 (1.006, 1.036)

0.006

  

 Zarit Burden Interview

 

1.024 (1.001, 1.048)

0.039

1.038 (1.002, 1.076)

0.040

 Family conflict - Attitude towards patient

 

0.966 (0.923, 1.010)

0.126

  

 Family conflict - Attitude towards caregiver

 

0.975 (0.931, 1.020)

0.271

  

 Social support - FDW for general help

No

0.469 (0.303, 0.726)

0.001

  

 Social support - FDW for stroke patient

No

2.703 (1.715, 4.260)

<0.001

  

 Social Support (perceived)

 

1.016 (0.973, 1.060)

0.478

  

 Care management strategies - Positive

 

1.017 (0.998, 1.037)

0.085

  

 Care management strategies - Negative

 

0.980 (0.934, 1.028)

0.408

  

PATIENT FACTORS

 Age (in years)

 

1.026 (1.006, 1.046)

0.010

  

 Gender

Male

1.624 (1.076, 2.451)

0.021

  

 Ethnicity

Non-Chinese

0.703 (0.466, 1.060)

0.092

  

 Marital Status

Single

0.984 (0.588, 1.649)

0.952

  

 Ward Class

Unsubsidized

0.491 (0.278, 0.869)

0.014

  

 CCI (during stroke onset)

1–3

 

0.004

  

  4–6

 

1.049 (0.588, 1.870)

 

  ≥ 7

 

2.229 (1.186, 4.189)

 

 Stroke type

Non-ischemic

1.035 (0.536, 1.996)

0.919

  

 Recurrent stroke

No

1.625 (1.005, 2.625)

0.047

  

 National Institute of Health Scale

Mild (0–4)

 

0.177

  

 Moderately severe (5–14)

 

1.325 (0.861, 2.039)

 

 Severe (15–24)

 

1.883 (0.887, 4.000)

 

 Modified Rankin Scale

No or slight disability (0–2)

    

 Moderate or severe disability (3–5)

 

2.318 (1.423, 3.775)

0.001

  

 Mini-Mental State Examination

No cognitive impairment (24–30)

    

 Mild cognitive impairment (18–23)

 

2.728 (1.704, 4.365)

 

  Severe cognitive impairment (1–17)

 

2.144 (1.236, 3.717)

 

 Discharge to Community Hospital (step-down facility)

No

1.374 (0.884, 2.136)

0.157

  

 Centre for Epidemiological Studies Depression Scale

 

1.040 (1.007, 1.074)

0.017

  
  1. Abbreviations: IRR Incidence rate ratio, aIRR Adjusted incidence rate ratio, CI Confidence interval, CCI Charlson Comorbidity Index, FDW Foreign domestic worker
  2. aModel adjusted for age, gender, ethnicity and ward class of the patient