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. Author manuscript; available in PMC: 2015 Oct 8.
Published in final edited form as: J Surg Res. 2013 Aug 13;186(1):458–466. doi: 10.1016/j.jss.2013.07.042

Table 3.

Multivariable model of predictors of use of hemostatic agents.

General surgery Gynecologic and urologic Cardiovascular Orthopedic
Age
<60 Referent Referent Referent Referent
≥60 1.01 (0.99–1.03) 0.91 (0.89–0.93)* 1.01 (1.00–1.02) 1.01 (1.00–1.02)*
Gender
Male Referent Referent Referent Referent
Female 0.94 (0.93–0.96)* 0.97 (0.95–1.00)* 0.99 (0.98–1.00) 1.00 (0.99–1.00)
Race
White Referent Referent Referent Referent
Black 1.03 (1.01–1.06)* 1.04 (1.02–1.06)* 1.01 (1.00–1.03) 1.00 (0.99–1.01)
Other 1.01 (0.99–1.04) 1.01 (0.9901.03) 0.97 (0.96–0.99)* 1.01 (1.01–1.02)*
Year of diagnosis
2000 Referent Referent Referent Referent
2001 1.08 (1.01–1.16)* 1.03 (0.98–1.09) 0.96 (0.94–0.99)* 1.03 (1.01–1.05)*
2002 1.17 (1.09–1.25)* 1.13 (1.07–1.19)* 0.98 (0.95–1.01) 1.05 (1.03–1.08)*
2003 1.21 (1.13–1.30)* 1.29 (1.22–1.36)* 1.02 (0.99–1.05) 1.07 (1.05–1.09)*
2004 1.28 (1.20–1.37)* 1.43 (1.35–1.50)* 1.14 (1.10–1.17)* 1.11 (1.08–1.13)*
2005 1.37 (1.28–1.47)* 1.57 (1.49–1.65)* 1.17 (1.13–1.20)* 1.14 (1.11–1.16)*
2006 1.46 (1.37–1.56)* 1.79 (1.70–1.89)* 1.26 (1.22–1.30)* 1.18 (1.11–1.16)*
2007 1.60 (1.50–1.72)* 2.04 (1.94–2.15)* 1.34 (1.30–1.38)* 1.22 (1.20–1.24)*
2008 1.73 (1.62–1.85)* 2.29 (2.17–2.41)* 1.39 (1.35–1.43)* 1.28 (1.25–1.30)*
2009 1.82 (1.70–1.94)* 2.53 (2.40–2.66)* 1.38 (1.34–1.42)* 1.30 (1.27–1.33)*
2010 1.82 (1.68–1.96)* 2.73 (2.57–2.89)* 1.37 (1.32–1.42)* 1.34 (1.31–1.37)*
Insurance
Commercial Referent Referent Referent Referent
Medicare 1.03 (1.01–1.05)* 0.81 (0.79–0.82)* 1.03 (1.03–1.04)* 1.00 (0.99–1.00)
Medicaid 1.08 (1.04–1.12)* 0.95 (0.93–0.98)* 1.02 (1.00–1.05)* 0.99 (0.98–1.00)
Uninsured 1.02 (0.98–1.07) 0.91 (0.88–0.95)* 1.00 (0.98–1.03) 0.98 (0.96–1.00)
Unknown 1.04 (0.99–1.09) 0.97 (0.94–1.01) 1.03 (1.00–1.05)* 1.01 (1.00–1.02)*
Marital status
Married Referent Referent Referent Referent
Single 1.00 (0.97–1.02) 0.93 (0.92–0.95)* 1.01 (0.99–1.02) 1.00 (0.99–1.00)
Unknown 1.01 (0.99–1.03) 0.98 (0.97–1.00)* 1.00 (0.99–1.01) 1.00 (0.99–1.01)
Area of residence
Metropolitan Referent Referent Referent Referent
Non-metropolitan 0.85 (0.69–1.03) 0.89 (0.71–1.10) 0.84 (0.63–1.12) 0.63 (0.50–0.80)*
Region
Eastern Referent Referent Referent Referent
Midwest 1.79 (1.39–2.31)* 1.35 (1.02–1.78)* 1.36 (0.99–1.87) 1.61 (1.20–2.16)*
South 2.09 (1.65–2.66)* 1.51 (1.16–1.97)* 1.59 (1.18–2.14)* 2.28 (1.73–3.00)*
West 1.18 (0.88–1.58) 0.88 (0.64–1.21) 1.21 (0.84–1.73) 1.60 (1.15–2.23)*
Cancer
No Referent Referent Referent Referent
Yes 0.87 (0.85–0.88)* 1.42 (1.40–1.45)* 1.11 (1.07–1.16)* 1.02 (1.00–1.05)*
Comorbidity
0 Referent Referent Referent Referent
1 1.17 (1.14–1.20)* 1.30 (1.28–1.32)* 1.04 (1.03–1.05)* 1.00 (1.00–1.01)
≥2 1.43 (1.40–1.46)* 1.24 (1.21–1.26)* 1.08 (1.07–1.10)* 1.01 (1.00–1.01)*
Hospital type
Non-teaching Referent Referent Referent Referent
Teaching 0.98 (0.81–1.19) 1.15 (0.93–1.43) 1.00 (0.80–1.26) 0.93 (0.75–1.16)
Hospital size
<400 beds Referent Referent Referent Referent
400–600 beds 1.21 (0.99–1.49) 1.10 (0.88–1.39) 1.11 (0.87–1.41) 1.33 (1.04–1.68)*
>600 beds 1.16 (0.87–1.54) 1.03 (0.74–1.42) 1.17 (0.84–1.63) 1.12 (0.80–1.57)
Hospital volume
Low Referent Referent Referent Referent
Intermediate 1.14 (1.11–1.18)* 0.98 (0.95–1.01) 1.03 (1.01–1.05)* 1.12 (1.10–1.14)*
High 1.29 (1.24–1.34)* 1.30 (1.26–1.35)* 0.99 (0.97–1.02) 1.05 (1.02–1.07)*
Surgeon volume
Low Referent Referent Referent Referent
Intermediate 0.86 (0.85–0.88)* 1.09 (1.07–1.11)* 0.95 (0.94–0.96)* 1.03 (1.02–1.04)*
High 0.83 (0.82–0.85)* 1.23 (1.21–1.26)* 0.93 (0.92–0.94)* 1.01 (1.00–1.01)
Unknown 0.92 (0.86–0.99)* 1.08 (1.03–1.15)* 0.91 (0.88–0.94)* 1.05 (1.03–1.08)*
Procedure
Colectomy Referent Referent Referent -
Thyroidectomy 3.21(3.14–3.27)* - - -
Pancreatectomy 3.84 (3.72–3.97)* - - -
Liver resection 5.72 (5.53–5.92)* - - -
Gastrectomy 2.11 (2.05–2.16)* - - -
Prostatectomy - Referent - -
Hysterectomy - 2.67 (2.58–2.75)* - -
Nephrectomy - 4.83 (4.72–4.94)* - -
Coronary artery bypass graft - - Referent -
Valvuloplasty - - 1.13 (1.12–1.14)* -
Lung resection - - 0.50 (0.48–0.52)* -
Hip arthroplasty - - - Referent
Knee arthroplasty - - - 1.08 (1.06–1.10)*
Spine surgery - - - 11.71 (11.55–11.87)*
*

P<0.05