. 2012 Oct;22(5):375–384. doi: 10.1089/cap.2011.0141

Table 4.

Bivariate and Multivariate Models for Screening Practices Performed by Practice and Demographic Characteristics and Barriers, OR (99% CI)^a,b

	Model 1: Vital signs, physical, or ECG done by psychiatrist or office staff, n=442/615 (71.9%)^c		Model 2: Vital signs, physical, or ECG done by any physician,n=558/615 (90.7%)^d
Variable	Bivariate	Multivariate	Bivariate	Multivariate
Practice setting^e
Private practice	0.3 (0.1, 0.7)	0.4 (0.2, 1.0)	0.4 (0.1, 1.8)	0.5 (0.1, 2.6)
Community MH center	0.8 (0.3, 2.1)	0.7 (0.2, 2.0)	0.5 (0.1, 2.3)	0.2 (0.0, 1.5)
Residential/inpatient	0.9 (0.4, 2.4)	0.8 (0.3, 2.2)	1.4 (0.2, 8.9)	1.2 (0.1, 10.8)
Psychiatrist gender^f
Male	0.9 (0.5, 1.4)	Not included	0.4 (0.2, 1.0)	0.4 (0.2, 1.0)
Race/Ethnicity^g
Non-Hispanic/White	1.0 (0.6, 1.7)	Not included	0.8 (0.3, 2.1)	Not included
Years in practice^h
8–13 years	0.7 (0.4, 1.5)	Not included	0.6 (0.1, 2.1)	Not included
13–18 years	0.9 (0.4, 1.8)	Not included	0.5 (0.1, 1.9)	Not included
>18 years	0.8 (0.4, 1.7)	Not included	0.7 (0.2, 2.8)	Not included
Practice locationⁱ
Suburban	0.8 (0.5, 1.3)	Not included	1.6 (0.6, 3.9)	Not included
Rural	1.7 (0.7, 4.3)	Not included	1.1 (0.3, 4.3)	Not included
Patient insurance^j
>50% with private insurance	0.4 (0.3, 0.7)	0.6 (0.3, 1.1)	0.4 (0.2, 1.0)	0.3 (0.1, 1.1)
Barriers^k
Perform routine history	0.9 (0.5, 1.9)	Not included	0.5 (0.2, 1.5)	Not included
Perform routine physical	0.6 (0.3, 1.1)	0.6 (0.3, 1.1)	0.7 (0.3, 1.9)	Not included
Interpret ECG	1.2 (0.7, 2.3)	Notincluded	1.5 (0.6, 3.9)	Not included
Coordinate care with PCP	1.3 (0.8, 2.1)	Not included	1.6 (0.7, 4.0)	Not included
Attitudes^l,m
Sufficient SCD risk	1.1 (0.6, 1.9)	Not included	1.3 (0.5, 3.3)	Not included
Legal liability	1.1 (0.7, 1.8)	Not included	1.4 (0.6, 3.5)	Not included
ECG does not provide info	1.3 (0.8, 2.3)	Not included	0.8 (0.3, 2.1)	Not included

^{^a}

Only variables that were significant at the 0.05-level for bivariate analyses were included in multivariate analyses.

^{^b}

Bolding indicates p-values ≤to 0.01; italics indicates p-value ≤0.05.

^{^c}

Reference for Model 1 is comparison to an off-site physician(s) or not at all.

^{^d}

Reference for Model 2 is none of the three (vital signs, physical, or ECG) performed by any physician.

^{^e}

Academic medical center is reference category.

^{^f}

Female is reference category.

^{^g}

Other race/ethnicity is reference category.

^{^h}

<8 years is reference category.

^ⁱ

Urban is reference category.

^{^j}

≥50% of patients with public, other, no insurance is reference category.

^{^k}

Barrier includes “minor” and “major” barrier.

^{^l}

Agree includes both “agree” and “strongly agree.”

^{^m}

Variable abbreviations: sufficient SCD risk=the risk for SCD in children is sufficiently high to warrant cardiac assessment before initiating stimulant treatment; legal liability=the risk for potential legal liability is sufficiently high to warrant cardiac assessment in children before initiating stimulant treatment; and ECG does not provide info=an ECG does not provide sufficient information to rule out undetected cardiac disorders in children.

ECG=electrocardiogram; MH=mental health; SCD=sudden cardiac death; PCP=primary care physician; OR=odds ratio; CI=confidence interval.