Table 3.
Results of Hierarchical Multivariable Regression, Assessing Association between In-Hospital Mortality and Hospital Annual Volume
Year | Volume Effect | SE | p-Value | OR | 95% CI |
---|---|---|---|---|---|
Annual volume as a continuous variable (per 100 patients per year) | |||||
1998 | −0.039 | 0.027 | 0.154 | 0.962 | 0.912–1.015 |
1999 | −0.046 | 0.019 | 0.017 | 0.955 | 0.920–0.991 |
2000 | −0.060 | 0.025 | 0.020 | 0.942 | 0.897–0.989 |
2001 | −0.067 | 0.027 | 0.015 | 0.935 | 0.887–0.986 |
2002 | −0.055 | 0.027 | 0.041 | 0.946 | 0.899–0.997 |
2003 (v)* | −0.007 | 0.032 | 0.826 | 0.993 | 0.932–1.058 |
2003 (m)† | −0.003 | 0.030 | 0.911 | 0.997 | 0.939–1.058 |
2004 (v)* | −0.026 | 0.034 | 0.448 | 0.974 | 0.911–1.042 |
2004 (m)† | −0.016 | 0.037 | 0.658 | 0.984 | 0.915–1.058 |
Annual volume >250 (<250 is reference group) | |||||
1998 | −0.077 | 0.155 | 0.619 | 0.926 | 0.684–1.254 |
1999 | −0.199 | 0.112 | 0.079 | 0.820 | 0.659–1.020 |
2000 | −0.423 | 0.132 | 0.002 | 0.655 | 0.506–0.849 |
2001 | −0.348 | 0.143 | 0.017 | 0.706 | 0.534–0.934 |
2002 | −0.292 | 0.132 | 0.031 | 0.747 | 0.576–0.968 |
2003 (v)* | 0.007 | 0.159 | 0.965 | 1.007 | 0.737–1.376 |
2003 (m)† | 0.086 | 0.141 | 0.544 | 1.089 | 0.827–1.435 |
2004 (v)* | −0.001 | 0.160 | 0.995 | 0.999 | 0.731–1.366 |
2004 (m)† | 0.163 | 0.162 | 0.317 | 1.177 | 0.856–1.618 |
Annual volume >450 (<450 is reference group) | |||||
1998 | −0.286 | 0.203 | 0.164 | 0.751 | 0.505–1.119 |
1999 | −0.263 | 0.140 | 0.064 | 0.769 | 0.584–1.011 |
2000 | −0.323 | 0.202 | 0.114 | 0.724 | 0.487–1.076 |
2001 | −0.533 | 0.204 | 0.011 | 0.587 | 0.394–0.873 |
2002 | −0.327 | 0.174 | 0.064 | 0.721 | 0.513–1.013 |
2003 (v)* | 0.050 | 0.208 | 0.810 | 1.052 | 0.699–1.582 |
2003 (m)† | 0.016 | 0.206 | 0.940 | 1.016 | 0.678–1.522 |
2004 (v)* | −0.106 | 0.204 | 0.605 | 0.900 | 0.603–1.341 |
2004 (m)† | −0.050 | 0.231 | 0.829 | 0.951 | 0.605–1.495 |
Reported are the coefficients and statistics for volume, years 2000–2004. Data for covariates are not shown.
2003 (v) and 2004 (v) = 2003 and 2004 data from the hospitals that participated at least 1 year in the voluntary reporting program.
2003 (m) and 2004 (m) = 2003 and 2004 data from the hospitals that participated in the mandatory reporting program.
CI, confidence interval.