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.