Table 3.
Factors Associated with Late DNR Use in Patients with Sepsis
| Variable | Bivariate analysis | Multivariable analysis | ||
|---|---|---|---|---|
| OR | 95 % CI | OR | 95 % CI | |
| Hospital size, no. beds | ||||
| 1–99 | 1.07 | (0.92, 1.24) | 1.01 | (0.86, 1.18) |
| 100–199 | 0.97 | (0.86, 1.08) | 0.88 | (0.78, 1.00) |
| 200–499 | 1.08 | (0.98, 1.19) | 1.01 | (0.90, 1.13) |
| 500+ | 1.00 | 1.00 | ||
| Teaching hospital | 0.83 | (0.75, 0.91) | 0.97 | (0.88, 1.09) |
| Age | ||||
| 80+ | 4.66 | (4.01, 5.45) | 3.75 | (3.17, 4.45) |
| 70–79 | 2.98 | (2.54, 3.52) | 2.38 | (2.00, 2.85) |
| 60–69 | 2.19 | (1.85, 2.60) | 1.77 | (1.48, 2.11) |
| 50–59 | 1.67 | (1.39, 2.01) | 1.40 | (1.17, 1.70) |
| 18–49 | 1.00 | 1.00 | ||
| Female gender | 1.06 | (1.00, 1.12) | 1.02 | (0.96, 1.08) |
| Race / ethnicity | ||||
| White | 1.00 | 1.00 | ||
| Black | 0.77 | (0.69, 0.86) | 0.80 | (0.71, 0.90) |
| Hispanic | 0.70 | (0.65, 0.76) | 0.85 | (0.77, 0.94) |
| Asian | 1.15 | (1.04, 1.27) | 0.94 | (0.85, 1.04) |
| Other | 0.69 | (0.62, 0.78) | 0.85 | (0.74, 0.96) |
| Source of admission | ||||
| Home | 1.00 | 1.00 | ||
| Skilled nursing and assisted living | 1.51 | (1.42, 1.61) | 1.26 | (1.17, 1.34) |
| Acute care hospital | 0.96 | (0.80, 1.15) | 0.94 | (0.77, 1.12) |
| Other | 0.83 | (0.65, 1.06) | 0.85 | (0.66, 1.08) |
| Payment category | ||||
| Medicare | 1.00 | 1.00 | ||
| Indigent | 0.23 | (0.13, 0.37) | 0.61 | (0.35, 0.99) |
| Medi-Cal | 0.59 | (0.53, 0.65) | 1.09 | (0.97, 1.23) |
| Private | 0.53 | (0.48, 0.59) | 1.05 | (0.93, 1.19) |
| Self-pay | 0.43 | (0.32, 0.56) | 0.99 | (0.73, 1.32) |
| Other | 0.77 | (0.55, 1.04) | 1.32 | (0.94, 1.81) |
| HMO insurance plan | 0.76 | (0.71, 0.81) | 0.81 | (0.75, 0.86) |
| Charlson Comorbidity Index | ||||
| 0 | 1.00 | 1.00 | ||
| 1–3 | 2.15 | (1.89, 2.45) | 1.63 | (1.43, 1.86) |
| 4–6 | 2.25 | (1.98, 2.57) | 1.76 | (1.54, 2.02) |
| 7–9 | 2.92 | (2.52, 3.39) | 2.54 | (2.18, 2.95) |
| 10+ | 4.30 | (3.63, 5.11) | 3.97 | (3.33, 4.73) |