Table 3.
The association of each individual comorbidity with in-hospital mortality a
| Logistic regression model | Elastic net model b | ||||
|---|---|---|---|---|---|
| Odds Ratio | 95% CI | P-value | Odds Ratio | ||
| Congestive heart failure | 1.743 | 1.691 | 1.796 | <.0001 | 1.55 |
| Peripheral vascular disease | 1.098 | 1.062 | 1.136 | <.0001 | 1.01 |
| Chronic pulmonary disease | 1.131 | 1.104 | 1.158 | <.0001 | 1.03 |
| Diabetes without chronic conditions | 0.961 | 0.935 | 0.988 | 0.005 | NA |
| Diabetes with chronic conditions | 1.023 | 0.993 | 1.055 | 0.135 | NA |
| Metastatic solid tumor | 2.110 | 2.013 | 2.211 | <.0001 | 2.05 |
| Cardiac arrhythmia | 1.797 | 1.755 | 1.84 | <.0001 | 1.70 |
| Valvular disease | 0.898 | 0.866 | 0.932 | <.0001 | NA |
| Pulmonary circulation disorders | 1.294 | 1.247 | 1.342 | <.0001 | 1.19 |
| Hypertension uncomplicated | 0.689 | 0.667 | 0.712 | <.0001 | 0.78 |
| Hypertension complicated | 0.765 | 0.739 | 0.793 | <.0001 | NA |
| Paralysis | 1.598 | 1.513 | 1.687 | <.0001 | 1.37 |
| Other neurological disorders | 2.17 | 2.117 | 2.223 | <.0001 | 2.03 |
| Hypothyroidism | 0.853 | 0.829 | 0.878 | <.0001 | 0.93 |
| Renal failure | 1.186 | 1.15 | 1.224 | <.0001 | 1.05 |
| Liver disease | 1.944 | 1.873 | 2.018 | <.0001 | 1.72 |
| Peptic ulcer disease excluding bleeding | 0.72 | 0.635 | 0.816 | <.0001 | NA |
| Lymphoma | 1.542 | 1.443 | 1.648 | <.0001 | 1.31 |
| Solid Tumor without metastasis | 1.454 | 1.396 | 1.515 | <.0001 | 1.38 |
| Rheumatoid arthritis/ collagen vascular diseases | 0.921 | 0.871 | 0.973 | 0.0035 | NA |
| Coagulopathy | 1.779 | 1.725 | 1.835 | <.0001 | 1.72 |
| Obesity | 0.708 | 0.682 | 0.735 | <.0001 | 0.80 |
| Weight loss | 2.174 | 2.118 | 2.232 | <.0001 | 2.14 |
| Fluid and electrolyte disorders | 2.599 | 2.537 | 2.663 | <.0001 | 2.44 |
| Deficiency anemia | 0.686 | 0.65 | 0.724 | <.0001 | 0.82 |
| Alcohol abuse | 0.697 | 0.656 | 0.741 | <.0001 | 0.88 |
| Drug abuse | 0.525 | 0.484 | 0.57 | <.0001 | 0.72 |
| Psychoses | 0.606 | 0.559 | 0.658 | <.0001 | 0.82 |
| Depression | 0.655 | 0.632 | 0.678 | <.0001 | 0.73 |
Models developed from the n=1,267,467 patient admissions training dataset.
traditional p-values are not directly available in elastic net model; CI=Confidence Interval; NA=Not available when elastic net model did not select the comorbidity as a substantial factor for predicting in-hospital mortality.