TABLE 3.
Multivariate logistic regressions examining demographic and clinical characteristics associated with ≥ 4.5 point deterioration from baseline in HRQOL scores at 1-month
| ODDS RATIO | STANDARD ERROR | Z-VALUE | 95% CONFIDENCE INTERVAL | |
|---|---|---|---|---|
| Model A. Predictors of Change in Total HRQOL | ||||
| Moderate-severe pain at 1-month | 5.7** | 2.1 | 4.76 | 2.8 – 11.6 |
| Age | ||||
| 2–4 years | 1.0 | |||
| 5–12 years | 1.3 | 0.4 | 0.92 | 0.7 – 2.5 |
| 13–18 years | 2.1* | 0.7 | 2.28 | 1.1 – 4.1 |
| Sex (male) | 1.1 | 0.3 | 0.54 | 0.7 – 1.8 |
| Race | ||||
| White non-Hispanic | 1.0 | |||
| Hispanic | 1.7 | 0.5 | 1.94 | 1.0 – 3.1 |
| Black | 0.3 | 0.3 | −1.04 | 0.0 – 2.8 |
| Asian | 1.5 | 0.7 | 0.97 | 0.6 – 3.7 |
| Other | 2.3* | 0.7 | 2.60 | 1.2 – 4.2 |
| Baseline pain+ | 0.9* | 0.0 | −2.54 | 0.9 – 1.0 |
| PMCA | ||||
| Without chronic disease | 1.0 | |||
| Noncomplex chronic disease | 0.9 | 0.3 | −0.29 | 0.5 – 1.6 |
| Complex chronic disease | 0.9 | 0.3 | −0.25 | 0.5 – 1.6 |
| LOS | 1.0 | 0.0 | 0.39 | 0.9 – 1.1 |
|
| ||||
| Model B. Predictors of Change in Physical HRQOL | ||||
| Moderate-severe pain at 1-month | 3.5** | 1.3 | 3.38 | 1.7 – 7.1 |
| Age | ||||
| 2–4 years | 1.0 | |||
| 5–12 years | 2.0* | 0.6 | 2.43 | 1.1 – 3.5 |
| 13–18 years | 2.3* | 0.7 | 2.63 | 1.2 – 4.1 |
| Sex (male) | 0.8 | 0.2 | −1.02 | 0.5 – 1.2 |
| Race | ||||
| White non-Hispanic | 1.0 | |||
| Hispanic | 1.2 | 0.3 | 0.78 | 0.7 – 2.0 |
| Asian | 1.3 | 0.5 | 0.60 | 0.6 – 2.8 |
| Other | 1.3 | 0.4 | 0.85 | 0.7 – 2.3 |
| Baseline pain+ | 0.9** | 0.0 | −2.85 | 0.9 – 1.0 |
| PMCA | ||||
| Without chronic disease | 1.0 | |||
|
| ||||
| Noncomplex chronic disease | 1.0 | 0.2 | 0.01 | 0.6 – 1.6 |
| Complex chronic disease | 0.6* | 0.1 | −2.20 | 0.3 – 0.9 |
| LOS | 1.1 | 0.0 | 1.46 | 1.0 – 1.1 |
|
| ||||
| Model C. Predictors of Change in Psychosocial Health | ||||
| Moderate-severe pain at 1-month | 4.2** | 1.52 | 3.93 | 2.0 – 8.5 |
| Age | ||||
| 2–4 years | 1.0 | |||
| 5–12 years | 0.9 | 0.31 | −0.20 | 0.5 – 1.8 |
| 13–18 years | 1.8 | 0.63 | 1.74 | 0.9 – 3.6 |
| Sex (male) | 1.1 | 0.26 | 0.26 | 0.7 – 1.7 |
| Race | ||||
| White non-Hispanic | ||||
| Hispanic | 1.6 | 0.49 | 1.46 | 0.9 – 2.9 |
| Black | 0.4 | 0.46 | −0.78 | 0.0 – 3.7 |
| Asian | 1.9 | 0.89 | 1.42 | 0.8 – 4.8 |
| Other | 1.9 | 0.64 | 1.83 | 1.0 – 3.7 |
| Baseline pain+ | 1.0 | 0.03 | −1.04 | 0.9 – 1.0 |
| PMCA | ||||
| Without chronic disease | 1.0 | |||
| Noncomplex chronic disease | 1.2 | 0.35 | 0.51 | 0.6 – 2.1 |
| Complex chronic disease | 1.3 | 0.39 | 0.76 | 0.7 – 2.3 |
| LOS | 1.1 | 0.04 | 1.59 | 1.0 – 1.1 |
**
p < .01,
*
p < .05
+
Numeric rating scale 0–10
PMCA Pediatric Medical Complexity Algorithm, LOS Length of Stay