Table 5.
Variables | Medicaid database (n =2118)
|
|||||
---|---|---|---|---|---|---|
Reference category or value Reference* LOS =3.837 days | Multiplication factor | 95% CI
|
Additional days | p-value | ||
Lower | Upper | |||||
Clinical variables: 12-month pre-period | ||||||
Arrhythmias | “ ” | 1.122 | 1.067 | 1.180 | 0.468 | <0.0001 |
Rheumatic heart disease | “ ” | 1.082 | 1.030 | 1.137 | 0.314 | 0.0018 |
Circulatory disease | “ ” | 1.155 | 1.086 | 1.228 | 0.594 | <0.0001 |
Cardiorespiratory failure and shock | “ ” | 1.112 | 1.044 | 1.183 | 0.428 | 0.0009 |
COPD | “ ” | 1.100 | 1.044 | 1.159 | 0.383 | 0.0003 |
Pneumonia | “ ” | 1.103 | 1.044 | 1.165 | 0.394 | 0.0005 |
Renal failure | “ ” | 1.374 | 1.299 | 1.452 | 1.434 | <0.0001 |
GI disease or ulcer | “ ” | 1.137 | 1.073 | 1.204 | 0.525 | <0.0001 |
Electrolyte disorder | “ ” | 1.116 | 1.056 | 1.180 | 0.445 | 0.0001 |
Clinical variables: Index admission | ||||||
Treated in ICU | Not in ICU | 1.281 | 1.217 | 1.348 | 1.078 | <0.0001 |
Treated in CCU | Not in CCU | 1.097 | 1.039 | 1.158 | 0.370 | 0.0008 |
ICD or pacemaker | “ ” | 0.624 | 0.543 | 0.718 | −1.442 | <0.0001 |
Cardiac catheterization | “ ” | 1.292 | 1.162 | 1.437 | 1.121 | <0.0001 |
Mechanical ventilation procedure | “ ” | 1.532 | 1.324 | 1.774 | 2.043 | <0.0001 |
The following variables did not have a significant difference in LOS from the reference group for Medicaid eligible beneficiaries: age group, index year, gender, urbanization, plan type, capitation status, previous CABG surgery, atherosclerosis, other heart disease, stroke, fibrosis of the lung, other urinary tract disorder, liver disease, cancer, psychiatric disorder, diabetes, malnutrition, pressure/decubitus ulcer, index admission CABG surgery, and index admission dialysis. 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, HF DRG, no study inpatient procedures, no ICU or CCU stay, discharged alive.