Table 4.
Variable | Odds ratio | P value |
---|---|---|
Nursing home characteristics | ||
Annual no. of admissions | 0.99 | 0.58 |
Length of stay (median no. of days) | 1.00 | 0.83 |
MRSA point prevalence | 1.02 | 0.43 |
Demographics (as % of all facility residents) | ||
Less than high school education | 1.03 | 0.88 |
Admitted from acute hospital | 1.01 | 0.42 |
Comorbidities (as % of all facility residents) | ||
Diabetes | 1.01 | 0.59 |
Skin lesions | 1.15 | 0.40 |
Indwelling device | 1.30 | 0.006 |
History of MRSAb | 2.99 | <0.001 |
Multidrug-resistant MRSA isolateb | 2.55 | 0.004 |
Functional status (avg score among all facility residents) | ||
High RUG scorec | 2.97 | 0.04 |
Avg ADL score | 1.28 | 0.001 |
Partner hospital characteristicd | ||
% physicians who routinely decolonize patients who have MDROe | 1.04 | 0.78 |
% MRSA+ patients who are decolonized | 0.79 | 0.13 |
% that use mupirocin to decolonize MRSA+ patients | 0.54 | 0.26 |
Note that four psychiatric facilities were removed from the bivariate analyses.
Analyzed as a resident-level or isolate-level variable, not as a facility-level variable.
RUG is a facility-level score that reflects the average level of care required by residents, based upon residents' comorbidities, ability to perform activities of daily living, and the required amount of physical and occupational therapy. The RUG score was dichotomized into high and low values around the median.
A nursing home's partner hospital was the hospital that transferred the most patients to that nursing home in a year.
MDRO, multidrug-resistant organisms.