Table 4.
Variables | Commercial database (n =4109)
|
|||||
---|---|---|---|---|---|---|
Reference category or value Reference* LOS =3.955 days | Multiplication factor | 95% CI
|
Additional days | p-value | ||
Lower | Upper | |||||
Demographic variables | ||||||
Managed care | Fee-for-service | 0.931 | 0.888 | 0.976 | −0.274 | 0.0028 |
Other/unknown health plan | “ ” | 0.813 | 0.743 | 0.889 | −0.740 | <0.0001 |
Capitated health plan | Non-capitated | 0.914 | 0.877 | 0.953 | −0.339 | <0.0001 |
Clinical variables: 12-month pre-period | ||||||
CABG surgery | None in pre-period | 0.874 | 0.807 | 0.947 | −0.497 | 0.001 |
Arrhythmias | “ ” | 1.101 | 1.064 | 1.140 | 0.401 | <0.0001 |
Circulatory disease | “ ” | 1.157 | 1.107 | 1.210 | 0.621 | <0.0001 |
Atherosclerosis | “ ” | 0.940 | 0.907 | 0.974 | −0.238 | 0.0008 |
Stroke | “ ” | 1.185 | 1.075 | 1.307 | 0.732 | 0.0006 |
Cardiorespiratory failure and shock | “ ” | 1.223 | 1.169 | 1.279 | 0.882 | <0.0001 |
Pneumonia | “ ” | 1.17 | 1.13 | 1.22 | 0.680 | <0.0001 |
Renal failure | “ ” | 1.273 | 1.217 | 1.331 | 1.079 | <0.0001 |
Liver disease | “ ” | 1.191 | 1.105 | 1.285 | 0.757 | <0.0001 |
GI disease or ulcer | “ ” | 1.179 | 1.125 | 1.235 | 0.707 | <0.0001 |
Cancer | “ ” | 1.148 | 1.085 | 1.215 | 0.585 | <0.0001 |
Diabetes | “ ” | 1.083 | 1.046 | 1.122 | 0.329 | <0.0001 |
Malnutrition | “ ” | 1.421 | 1.225 | 1.648 | 1.664 | <0.0001 |
Pressure/decubitus ulcer | “ ” | 1.344 | 1.232 | 1.466 | 1.360 | <0.0001 |
Clinical variables: Index admission | ||||||
Treated in ICU | Not in ICU | 1.109 | 1.071 | 1.149 | 0.431 | <0.0001 |
Treated in CCU | Not in CCU | 1.083 | 1.040 | 1.126 | 0.326 | <0.0001 |
ICD or pacemaker | “ ” | 0.833 | 0.781 | 0.889 | −0.660 | <0.0001 |
CABG procedure | “ ” | 1.682 | 1.450 | 1.951 | 2.695 | <0.0001 |
Cardiac catheterization | “ ” | 1.438 | 1.357 | 1.525 | 1.734 | <0.0001 |
Mechanical ventilation procedure | “ ” | 1.201 | 1.055 | 1.367 | 0.794 | 0.0056 |
Dialysis | “ ” | 1.240 | 1.119 | 1.373 | 0.947 | <0.0001 |
The following variables did not have a significant difference in LOS from the reference group for patients with commercial health insurance: age group, index year, gender, rheumatic heart disease, other heart disease, COPD, fibrosis of the lung, other urinary tract disorder, psychiatric disorder, and electrolyte disorder. Each of these variables was associated with a significant difference in LOS from the corresponding reference group for one of the other payers.
Reference: 2005, male, 35–49 years old, fee-for-service and non-capitated health plan, no study comorbidities, ≤10 3-digit ICD-9-CM codes in pre-period, no study inpatient procedures, no ICU or CCU stay, discharged alive.