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. 2015 Nov;21(11):10.18553/jmcp.2015.21.11.1039. doi: 10.18553/jmcp.2015.21.11.1039

TABLE 2.

Difference in Adjusted Average Length of Stay Between Dabigatran and Warfarin Treatment Groups

Explanatory Variables Coefficient Exp PEa Standard Error P Valueb
Intercept 1.0325 2.81    
Treatment Group (reference: warfarin)
Dabigatran etexilate -0.1358  0.87 0.0369 < 0.001  
Use of bridging agent (LMWH and/or UFH; reference: no) 0.3816 1.46 0.0391 < 0.001  
Patient age (in years) 0.0022 1.00 0.0022 0.306
Female (reference: male) 0.0036 1.00 0.0380 0.924
Payer type (reference: commercial)
  Medicare 0.0973 1.10 0.0444 0.027
  Medicaid 0.1468 1.16 0.0843 0.082
  Other/unspecified 0.1725 1.19 0.2167 0.426
AF was primary diagnosis (reference: secondary diagnosis) -0.5547  0.57 0.0420 < 0.001  
Comorbidities (excluding those used in stroke risk calculation)
  Cancer -0.0659  0.94 0.0486 0.175
  Chronic pulmonary disease 0.1919 1.21 0.0354 < 0.001  
  Cerebral vascular disease 0.0513 1.05 0.0535 0.338
  Dementia 0.1939 1.21 0.0943 0.040
  Metastatic carcinoma 0.2189 1.24 0.1033 0.034
  Liver disease (mild through severe) 0.3476 1.42 0.1090 0.001
  Paraplegia and hemiplegia 0.2441 1.28 0.0873 0.005
  Peptic ulcer disease 0.4098 1.51 0.1174 < 0.001  
  Peripheral vascular disease 0.0314 1.03 0.0495 0.526
  Renal disease 0.1404 1.15 0.0461 0.002
  Rheumatologic disease 0.0463 1.05 0.0741 0.532
  Left ventricular systolic dysfunction 0.0869 1.09 0.0560 0.120
  Thromboembolism 0.1287 1.14 0.0642 0.045
  Myocardial infarction 0.0317 1.03 0.0592 0.592
  Coronary artery disease -0.0389  0.96 0.0390 0.319
  Peripheral artery disease -0.1227  0.88 0.0668 0.066
  Left ventricular systolic dysfunction -0.0659  0.94 0.0486 0.176
CHADS2 scorec (reference: 2 [moderate risk])
  0-1 (low risk) -0.0255  0.97 0.0547 0.641
  3-6 (high risk) 0.1341 1.14 0.0387 0.005
HAS-BLED scored (reference: 2 [moderate risk)]
  0-1 (low risk) 0.0651 1.07 0.0765 0.397
  3-9 (high risk) 0.0099 1.01 0.0409 0.809
Number of prior hospitalizations 0.0562 1.06 0.0223 0.012
Hospitalization within matched study sample (reference: 1st)
  2nd 0.4376 1.55 0.0889 < 0.001  
  3rd or greater 0.1201 1.13 0.2915 0.680
Stay include time in the ICU/CCU (reference: no) 0.2812 1.32 0.0597 < 0.001  
Hospital U.S. Census divisions (reference: Pacific)
  New England -0.2156  0.81 0.1257 0.086
  Middle Atlantic 0.0921 1.10 0.0641 0.151
  East North Central 0.0137 1.01 0.0693 0.844
  West North Central -0.1916  0.83 0.0786 0.015
  South Atlantic -0.0127  0.99 0.0557 0.820
  East South Central -0.0975  0.91 0.1008 0.333
  West South Central -0.0778  0.93 0.0638 0.223
  Mountain -0.3743  0.69 0.0563 < 0.001  
Hospital bed size (reference: 300-499 beds)
  1-199 beds -0.1069  0.90 0.0617 0.083
  200-299 beds 0.1354 1.14 0.0562 0.016
  500+ beds 0.0728 1.08 0.0506 0.150
Hospital location (reference: rural)
  Urban 0.0143 1.01 0.0656 0.828
  Unknown 0.1082 1.11 0.0915 0.237
Hospital type (reference: community)
  Academic 0.1142 1.12 0.0498 0.022

aThe multiplicative effect of this level versus the reference level (e.g., 1.46 is interpreted as 46% longer length of stay; 0.87 as 13% shorter length of stay).

bGeneralized linear model with gamma distribution (log link), fitted by generalized estimating equations performed using The Comprehensive R Archive Network geepack package.

cOne point each for congestive heart failure, hypertension, age ≥ 75 years, and diabetes mellitus; 2 points for transient ischemic attack or stroke.

dOne point each for current or prior hypertension; impaired kidney function (i.e., kidney disease); impaired liver function (i.e., liver disease); stroke, major bleeding event, or having condition that predisposes (i.e., bleeding diathesis); medication use that predisposes to risk of bleeding; abnormal INR (low detection rates in these data); alcohol abuse (low detection rates in these data); and age > 65 years.

AF = atrial fibrillation; Exp PE = exponentiated parameter estimate; ICU/CCU = intensive care unit/critical care unit; INR = international normalized ratio; LMWH/PS = low molecular weight heparin/pentasaccharide; UFH = unfractionated heparin.