Table 2.
Exploratory models of ED wait time predictors for pediatric mental health visits (n = 558).
| n | Bivariable model | Multivariable model | |||||
|---|---|---|---|---|---|---|---|
| Hazard ratio | 95% CI | P value | Hazard ratio | 95% CI | P value | ||
| Age | 558 | 1.03 | 0.99–1.07 | 0.210 | 1.01 | 0.97–1.06 | 0.521 |
| Sex | |||||||
| Female | 314 | Reference | Reference | ||||
| Male | 241 | 1.18 | 0.96–1.44 | 0.108 | 1.48 | 1.20–1.84 | <0.001 |
| Unknown | 3 | 1.26 | 0.39–4.05 | 0.699 | 0.46 | 0.15–1.41 | 0.174 |
| Socioeconomic status | |||||||
| <$30,000 | 15 | 0.77 | 0.49–1.22 | 0.269 | 1.05 | 0.62–1.75 | 0.867 |
| $30,000–$49,999 | 89 | 1.04 | 0.77–1.42 | 0.792 | 0.82 | 0.59–1.14 | 0.230 |
| $50,000–$69,999 | 308 | Reference | Reference | ||||
| $70,000–$89,999 | 68 | 0.91 | 0.65–1.28 | 0.590 | 0.92 | 0.65–1.31 | 0.653 |
| >$90,000 | 45 | 1.09 | 0.73–1.62 | 0.680 | 1.08 | 0.68–1.70 | 0.753 |
| Unknown | 33 | 1.54 | 0.97–2.45 | 0.068 | 1.07 | 0.71–1.64 | 0.737 |
| Day of the week | |||||||
| Tuesday to Thursday | 265 | Reference | Reference | ||||
| Friday to Monday | 293 | 1.19 | 0.97–1.45 | 0.098 | 0.98 | 0.79–1.23 | 0.846 |
| Patient accompaniment | |||||||
| Parent/guardian or unknown | 331 | Reference | Reference | ||||
| EMS, alone, or with friends | 227 | 1.02 | 0.84–1.25 | 0.836 | 1.36 | 0.95–1.95 | 0.094 |
| Mode of arrival | |||||||
| Medical transport/police or unknown | 298 | Reference | Reference | ||||
| Walk-in | 260 | 0.59 | 0.48–0.72 | <0.001 | 0.86 | 0.57–1.28 | 0.455 |
| ED type | |||||||
| General | 398 | Reference | Reference | ||||
| Pediatric | 160 | 5.39 | 3.78–7.69 | <0.001 | 5.91 | 4.16–8.39 | <0.001 |
| Triage level | |||||||
| CTAS 1 | 2 | 9.47 | 5.75–15.58 | <0.001 | 2.32 | 0.90–6.01 | 0.082 |
| CTAS 2 | 76 | 7.08 | 4.95–10.12 | <0.001 | 3.62 | 2.24–5.85 | <0.001 |
| CTAS 3 or unknown | 264 | Reference | Reference | ||||
| CTAS 4 | 201 | 0.89 | 0.71–1.11 | 0.310 | 0.97 | 0.74–1.26 | 0.799 |
| CTAS 5 | 15 | 1.64 | 0.95–2.82 | 0.076 | 1.02 | 0.60–1.72 | 0.952 |
| Diagnosis | |||||||
| Mental/behavioural disorder secondary to substance abuse | 152 | Reference | Reference | ||||
| Anxiety/stress-related disorder | 109 | 0.42 | 0.31–0.58 | <0.001 | 0.82 | 0.50–1.32 | 0.405 |
| Intentional self-harm | 61 | 0.50 | 0.34–0.75 | <0.001 | 1.15 | 0.73–1.79 | 0.550 |
| Mood disorder | 97 | 0.39 | 0.27–0.56 | <0.001 | 0.97 | 0.64–1.47 | 0.889 |
| Schizophrenia or other psychotic disorder | 20 | 0.42 | 0.25–0.69 | <0.001 | 0.84 | 0.52–1.34 | 0.456 |
| Behavioural or emotional disorder/syndrome | 119 | 0.40 | 0.29–0.56 | <0.001 | 0.97 | 0.63–1.49 | 0.898 |