Table 2.
Outcome | Outcome per Hospital Group | Adjusted1 RR (95% CI) | |
---|---|---|---|
Low Oral Hospitals (n=15,609 patients at 16 hospitals) | High Oral Hospitals (n=4,669 patients at 7 hospitals) | High vs. Low | |
In-hospital outcomes | |||
LOS, hours – mean (sd) | 55.2 (28.1) | 54.14 (27.52) | 1 (0.93, 1.08) |
ICU transfer2 | 95 (0.6) | 28 (0.6) | 1.07 (0.57, 1.99) |
Escalated respiratory care3 | 72 (0.5) | 63 (1.3) | 2.96 (1.12, 7.81) |
Complicated CAP | 1084 (6.9) | 260 (5.6) | 0.81 (0.59, 1.11) |
Cost, $ - mean (sd) | 6,435 (3,850) | 6,500 (3988) | 1.06 (0.79, 1.41) |
Post-discharge outcomes | |||
7-day CAP-related ED revisits | 76 (0.5) | 29 (0.6) | 1.21 (0.84, 1.73) |
7-day CAP related readmission | 131 (0.8) | 68 (1.5) | 1.68 (1.31, 2.17) |
Readmission for complicated CAP | 57 (0.4) | 24 (0.5) | 1.42 (0.87, 2.34) |
Readmission with pleural drainage | 27 (0.2) | 14 (0.3) | Too few to model |
Values represent the number of patients (percentage of total patients) unless otherwise specified.
CI, confidence interval; OR, odds ratio; RR, relative ratio; sd, standard deviation.
Adjusted for patient age, initial use of broad-spectrum antibiotics, initial diagnostic utilization (blood culture, blood gas analysis, chest ultrasound or computed tomography), additional respiratory diagnoses including asthma, influenza, atypical CAP, and viral bronchiolitis, calendar time (hospitalization year and winter/fall season), and hospitalization in the preceding 6 months.
ICU transfer after the second hospital day
Use of heated high flow oxygen, non-invasive positive pressure ventilation, or intubation and mechanical ventilation after second hospital day