Table 1. Patient Risk Factors, Hospital Characteristics and Patient Outcomes by Race/Ethnicity & Socioeconomic Status, 2007.
All | Race/Ethnicity | Socioeconomic Status | |||||
---|---|---|---|---|---|---|---|
Whites | Blacks | Hispanics | Low Income |
Medium Income |
High Income |
||
# admissions | 147,780 | 98,512 | 20,579 | 16,927 | 40,233 | 38,579 | 68,968 |
Patient Risk Factors | |||||||
Female% | 53.7 | 54.1 | 56.4 | 50.2 | 53.7 | 53.9 | 53.4 |
Age (years), % | |||||||
18–64 | 29.4 | 23.1 | 47.5 | 39.9 | 34.8 | 28.8 | 26.4 |
65–74 | 20.7 | 19.4 | 23.8 | 22.9 | 21.9 | 20.7 | 20.1 |
75–84 | 29.8 | 33.0 | 19.4 | 25.0 | 26.8 | 30.3 | 31.2 |
85+ | 20.2 | 24.5 | 9.2 | 12.2 | 16.5 | 20.1 | 22.3 |
Comorbidity, Prevalence, % | |||||||
Atrial fibrillation | 23.2 | 27.2 | 12.3 | 15.4 | 19.7 | 22.9 | 25.3 |
Hypertension | 77.6 | 75.0 | 85.6 | 80.8 | 79.2 | 77.5 | 76.7 |
Diabetes | 34.2 | 28.9 | 44.4 | 49.2 | 39.0 | 34.5 | 31.2 |
Coronary Heart Disease | 27.5 | 29.7 | 21.6 | 24.4 | 26.8 | 28.2 | 27.5 |
Congestive Heart Failure | 13.7 | 14.2 | 14.8 | 11.8 | 14.1 | 13.8 | 13.5 |
Charlson Score | |||||||
0 | 47.8 | 47.7 | 46.2 | 48.7 | 46.6 | 47.5 | 48.7 |
1 | 14.6 | 15.7 | 12.8 | 12.8 | 14.6 | 15.0 | 14.4 |
2 | 24.1 | 23.0 | 26.9 | 26.3 | 25.0 | 24.0 | 23.7 |
3+ | 13.4 | 13.6 | 14.1 | 12.1 | 13.8 | 13.6 | 13.1 |
Socioeconomic Status (patient residence zip code), % | |||||||
Low Income Area | 27.2 | 19.6 | 50.8 | 43.7 | |||
Medium Income Area | 26.1 | 27.5 | 21.5 | 24.5 | |||
High Income Area | 46.7 | 52.9 | 27.7 | 31.8 | |||
Race and Ethnicity, % | |||||||
Whites, non-Hispanic | 48.0 | 70.2 | 75.6 | ||||
Blacks, non-Hispanic | 26.0 | 11.5 | 8.3 | ||||
Hispanic | 18.4 | 10.7 | 7.8 | ||||
Hospital Characteristics | |||||||
# hospitals | 1,282 | 1,248 | 954 | 892 | 1,076 | 1,160 | 1,089 |
Bed size (# inpatient beds), % | |||||||
<= 199 | 75.2 | 78.0 | 72.6 | 63.7 | 23.3 | 28.8 | 22.2 |
200 to 499 | 15.0 | 14.1 | 13.6 | 23.1 | 48.6 | 50.7 | 52.9 |
>= 500 | 9.8 | 7.9 | 13.8 | 13.2 | 28.1 | 20.5 | 24.9 |
ICU beds, % | |||||||
<= 14 | 24.2 | 26.3 | 16.5 | 23.1 | 29.6 | 34.0 | 28.1 |
15 to 36 | 51.2 | 52.0 | 47.9 | 50.9 | 33.1 | 36.5 | 40.9 |
>= 37 | 24.7 | 21.8 | 35.5 | 26.0 | 37.3 | 29.6 | 31.0 |
Nursing staff (# patients/nurse), % | |||||||
<= 2 | 36.6 | 35.8 | 37.5 | 40.1 | 34.7 | 33.4 | 39.6 |
2.01 to 3.00 | 36.4 | 35.7 | 36.4 | 39.4 | 37.3 | 36.8 | 35.5 |
3.01 to 4.00 | 18.5 | 19.3 | 17.6 | 15.4 | 18.8 | 19.7 | 17.6 |
> 4.00 | 8.5 | 9.2 | 8.5 | 5.1 | 9.2 | 10.1 | 7.3 |
Average daily ED volume (# admissions), % | |||||||
<= 80 | 24.2 | 25.4 | 18.8 | 24.2 | 25.2 | 27.9 | 21.5 |
81 to 175 | 45.9 | 47.2 | 40.1 | 44.4 | 41.6 | 44.2 | 49.4 |
>= 176 | 29.9 | 27.4 | 41.1 | 31.4 | 33.1 | 27.9 | 29.1 |
Ownership, % | |||||||
Non Profit | 75.2 | 78.0 | 72.6 | 63.7 | 71.9 | 73.3 | 78.1 |
For Profit | 15.0 | 14.1 | 13.6 | 23.1 | 16.6 | 16.1 | 13.5 |
Government, non-Federal | 9.8 | 7.9 | 13.8 | 13.2 | 11.5 | 10.7 | 8.3 |
Teaching hospital, % | 21.8 | 18.8 | 34.9 | 19.4 | 26.9 | 18.8 | 20.5 |
Safety Net hospital, % | 30.6 | 24.7 | 41.4 | 45.2 | 44.1 | 30.9 | 22.6 |
Patient Outcomes | |||||||
Inpatient Mortality (%) | 5.5 | 5.8 | 4.4 | 4.5 | 5.5 | 5.4 | 5.6 |
Length of stay | |||||||
Days, Mean | 6.2 | 5.9 | 7.4 | 6.3 | 6.7 | 6.0 | 6.0 |
Frequency of stays > 4 days, % | 48.3 | 46.6 | 55.2 | 48.5 | 51.2 | 47.4 | 47.0 |
Notes:
Of the 147,780 discharges, 11,762 were for "Other" race and ethnicity. Due to heterogeneity of this cohort, characteristics are not reported here. However, the “Other” cohort was included in all the statistical analyses.
Charlson Score excludes congestive heart failure, cerebrovascular and diabetes as these are individually specified
p-value is for the test of comparison across race and ethnicity