Table I.
Bivariate Association Between Other Independent Variables and Gender
Covariate | Women (n = 8,702) | Men (n = 10,055) | OR (95% CI) | p value | |
---|---|---|---|---|---|
Patient characteristics |
|||||
Age (years) | 68 (54 – 75)* | 65 (52 – 76)* | -- | 0.0001 | |
Dependent functional status at admission† | 44% | 36% | 1.39 (1.31 – 1.48) | <0.0001 | |
Race / Ethnicity | |||||
Caucasian | 74% | 75% | 0.94 (0.88 – 1.01) | 0.08 | |
African-American | 14% | 12% | 1.18 (1.09 – 1.29) | 0.0001 | |
Latin/ Hispanic | 5% | 6% | 0.87 (0.77 – 0.99) | 0.04 | |
Asian or Pacific Islander | 1% | 1% | 0.93 (0.72 – 1.20) | 0.55 | |
American Indian | < 1% | < 1% | 0.65 (0.39 – 1.08) | 0.08 | |
Other or unknown | 5% | 5% | 1.02 (0.89 – 1.17) | 0.79 | |
Admitted from health care facility‡ | 53% | 52% | 1.03 (1.00 – 1.06) | 0.06 | |
Previous ICU admission this hospitalization | 4.3% | 4.7% | 0.91 (0.79 – 1.05) | 0.18 | |
CPR within 24 hours of ICU admission | 4.8% | 5.0% | 0.96 (0.84 – 1.10) | 0.57 | |
Medical patient (vs. surgical) | 82% | 82% | 1.00 (0.92 – 1.08) | 0.88 | |
Medicaid or self-pay vs. other insurance § | 15% | 15% | 1.00 (0.92 – 1.08) | 0.92 | |
Comorbidity |
|||||
Chronic liver disease | 3% | 4% | 0.73 (0.63 – 0.86) | 0.0001 | |
Active cancer within 5 years | 14% | 17% | 0.81 (0.75 – 0.88) | <0.0001 | |
Chronic cardiovascular disease | 6% | 7% | 0.80 (0.71 – 0.90) | 0.0002 | |
Chronic renal disease | 6% | 6% | 0.90 (0.80 – 1.02) | 0.10 | |
Chronic respiratory disease | 10% | 10% | 1.04 (0.94 – 1.14) | 0.45 | |
Immunocompromise | 13% | 13% | 0.99 (0.91 – 1.08) | 0.80 | |
Severity of illness variables |
|||||
Neurologic dysfunction | 7% | 5% | 1.32 (1.17 – 1.49) | <0.0001 | |
Cardiovascular dysfunction | 58% | 54% | 1.20 (1.13 – 1.27) | <0.0001 | |
Respiratory dysfunction | 43% | 47% | 0.83 (0.78 – 0.88) | <0.0001 | |
Elevated serum lactate | 10% | 9% | 1.15 (1.04 – 1.27) | 0.0042 | |
Acute renal failure | 20% | 18% | 1.13 (1.05 – 1.22) | 0.0012 | |
Hepatic dysfunction | 8% | 9% | 0.87 (0.79 – 0.97) | 0.011 | |
Hematologic dysfunction | 16% | 17% | 0.89 (0.83 – 0.97) | 0.0047 | |
APACHE II score | 21 (15–27)* | 21 (15–27)* | -- | 0.49 | |
SAPS II predicted mortality | 35% (15 – 64%)* | 33% (14 – 64%)* | -- | 0.19 | |
Source of infection |
|||||
Urinary infection | 31% | 19% | 1.97 (1.84 – 2.10) | <0.0001 | |
Intra-abdominal infection | 12% | 9% | 1.33 (1.21 – 1.46) | <0.0001 | |
Chest infection | 37% | 48% | 0.63 (0.60 – 0.67) | <0.0001 | |
Bloodstream infection | 23% | 24% | 0.94 (0.88 – 1.00) | 0.06 | |
Unknown infection | 3.8% | 3.5% | 1.10 (0.94 – 1.28) | 0.23 | |
Processes of care |
|||||
Code Status limitations ** | 9% | 7% | 1.31 (1.18 – 1.47) | <0.0001 | |
Invasive mechanical ventilation | 63% | 68% | 0.81 (0.76 – 0.86) | <0.0001 | |
HD catheter | 12% | 14% | 0.85 (0.78 – 0.93) | 0.0002 | |
PRBC transfusion | 42% | 39% | 1.15 (1.09 – 1.22) | <0.0001 | |
DVT prophylaxis | 75% | 77% | 0.90 (0.84 – 0.97) | 0.0034 | |
Intravenous nutrition | 18% | 19% | 0.93 (0.86 – 1.00) | 0.06 | |
FFP transfusion | 17% | 18% | 0.94 (0.87 – 1.01) | 0.10 | |
Stress ulcer prophylaxis | 43% | 44% | 0.96 (0.90 – 1.01) | 0.12 | |
CCM coverage | 71% | 72% | 0.96 (0.90 – 1.02) | 0.20 | |
Hospital Characteristics |
|||||
Accredited residencies | 69% | 71% | 0.89 (0.83 – 0.94) | 0.0002 | |
Accredited CCM fellowship | 28% | 30% | 0.92 (0.85 – 0.96) | 0.002 | |
Academic hospital †† | 21% | 22% | 0.92 (0.86 – 0.99) | 0.02 | |
Number of hospital beds (quartiles) ‡‡ | -- | -- | 0.97 (0.95 – 1.00) | 0.02 §§ | |
Urban hospital | 60% | 62% | 0.94 (0.89 – 1.00) | 0.05 | |
Suburban hospital | 26% | 25% | 1.06 (0.99 – 1.13) | 0.10 | |
Rural hospital | 14% | 13% | 1.03 (0.95 – 1.12) | 0.43 | |
Medical school | 21% | 22% | 0.94 (0.88 – 1.01) | 0.10 |
Numbers in parentheses represent interquartile range;
206 missing values;
46 missing values;
90 missing values;
191 missing values;
4 missing values;
6 missing values;
Mantel Haenszel odds ratio per quartile increase in hospital beds.
Abbreviations: OR= odds ratio; CI = confidence interval; APACHE = acute physiology and chronic health evaluation score; SAPS = simplified acute physiology score; FFP = fresh frozen plasma; HD = hemodialysis; PRBC = packed red blood cells; DVT = deep venous thrombosis; CCM = critical care medicine