Table 3.
Sensitivity Analyses of Hospital-Level Variation in ICU Use in Specific Diagnoses and Procedures
Pneumonia | Congestive Heart Failure | Surgery for Colorectal Cancer | Acute Myocardial Infarction | Excluding Acute Care Transfers | Specification Test† | |
---|---|---|---|---|---|---|
Random effects variance* | ||||||
Hospital-level variance (95% CI) | 0.27 (0.20, 0.38) | 0.64 (0.48, 0.87) | 0.29 (0.19, 0.44) | 1.24 (0.89, 1.75) | 0.57 (0.43, 0.77) | 0.03 (0.02, 0.05) |
Intraclass correlations** % | ||||||
Hospital (95% CI) | 7.7 (5.4, 10.0) | 16.4 (12.2, 20.6) | 8.0 (4.9, 11.2) | 27.5 (20.7, 34.2) | 14.9 (11.1, 19.6) | 0.9 (0.5, 1.3) |
Residual | 92.3 | 83.6 | 92 | 72.5 | 85.1 | 99.1 |
Hospitals | 90 | 90 | 89 | 88 | 90 | 42 |
Observations | 36,525 | 76,439 | 10,232 | 22,086 | 981,341 | 581,503 |
Notes: All analyses derive from Model 3 refit in after restriction to complete cases; critical illness diagnosis codes eliminated from adjustment variables for pneumonia and surgery models due to model convergence.
Specification test, where outcome replaced patient-level marital status (married—yes/no), fit only among Maryland state records.
The residual (patient) variance in a mixed logistic regression model is fixed at π(2/3).
ICC calculated as proportion of hospital variance divided by total variance, where total variance is the sum of hospital variance and residual variance π(2/3).
ICU, intensive care unit.