Table 2.
Estimates from three sets of models for LTC residents with high risk for pressure ulcers in NYS
Independent variables (Number of individual=59740; Number of facilities=619) | Base logit model | Conditional fixed-effects logit model | Random-effects model with Bootstrapping SE |
---|---|---|---|
Odds Ratio | Odds Ratio | Odds Ratio | |
Black +++ | 1.203*** | 0.970 | 0.976 |
% black residents (0–10 scale) | - | - | 1.036*** |
| |||
Age group1 (<=65) | reference | reference | reference |
Age group2 (66–75) | 1.295*** | 1.227*** | 1.245*** |
Age group3 (76–85) | 1.281*** | 1.269*** | 1.274*** |
Age group4 (>=86 ) | 1.211*** | 1.200** | 1.203** |
Male | 1.253*** | 1.248*** | 1.253*** |
Bed mobility-extensive assistance | 1.428*** | 1.564*** | 1.546*** |
Bed mobility-total dependence | 1.844*** | 2.072*** | 2.022*** |
Transfer restriction-extensive assistance | 1.380*** | 1.272*** | 1.268*** |
Transfer restriction-total dependence | 2.231*** | 2.065*** | 2.056*** |
Transfer restriction-total depend.×group3 | 1.169*** | 1.162** | 1.166** |
Loss of voluntary movement | 1.496*** | 1.500*** | 1.503*** |
Loss of voluntary movement* group3 | 0.911 | 0.889* | 0.893* |
Bedfast | 1.927*** | 1.875*** | 1.941*** |
Diabetes | 2.047*** | 1.941*** | 1.969*** |
Diabetes×group2 | 0.741*** | 0.770** | 0.764** |
Diabetes×group3 | 0.696*** | 0.719*** | 0.716*** |
Diabetes×group4 | 0.649*** | 0.671*** | 0.664*** |
Peripheral vascular disease | 1.247*** | 1.342*** | 1.310*** |
Bladder continence | 0.622*** | 0.618*** | 0.616*** |
Bladder continence×group4 | 1.181*** | 1.158** | 1.170*** |
Bowel incontinence | 1.460*** | 1.333*** | 1.345*** |
Indwelling catheter | 2.805*** | 2.906*** | 2.921*** |
BMI<18.5 | 1.956*** | 1.942*** | 1.939*** |
BMI (undefined) | 1.128 | 1.201** | 1.198** |
BMI<18.5 ×group4 | 0.708*** | 0.684*** | 0.686*** |
Weight loss | 1.929*** | 1.900*** | 1.928*** |
Weight loss×group4 | 1.115 | 1.149** | 1.137* |
End-stage disease | 1.581*** | 1.698*** | 1.704*** |
Hip fracture in last 180 days | 2.532*** | 2.590*** | 2.609*** |
Fracture×group2 | 0.504* | 0.527* | 0.506* |
Edema | 1.496*** | 1.669*** | 1.641*** |
Edema×group3 | 0.933 | 0.907 | 0.921 |
Profit | 1.067** | ||
Number of beds (facility size) | 1.000 | ||
Registered nurse hours/resident/day | 0.877* | ||
Licensed practical nurse hours/resident/day | 0.997 | ||
Certified nurse aide hours/resident/day | 1.012 | ||
Occupancy rate | 0.998 | ||
% Medicare residents (0–10 scale) | 1.026 | ||
% Medicaid residents (0–10 scale) | 1.021 | ||
Downstate | 1.415*** |
p<0.01,
p<0.05,
p<0.1;
The effect of race from base logit (1.203) model is significantly different from that from conditional fixed-effect (0.970) log model, with P<0.01.