Table 2.
Univariable and multivariable associations of behavioral-health patient characteristics with transfer to external facility.
| Univariable | Multivariable | |||||
|---|---|---|---|---|---|---|
|
|
|
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| Characteristica | No transfer (n=1,325) | Transfer (n=177) | OR (95% CI) | P value | OR (95% CI) | P value |
| Age, y | ||||||
| <18 | 244 (18) | 54 (31) | 2.20 (1.54–3.14) | <0.001 | 2.34 (1.60–3.40) | <0.001 |
| 18–65 | 1,022 (77) | 103 (58) | 1.0 (reference) | 1.0 (reference) | ||
| >65 | 59 (5) | 20 (11) | 3.36 (1.95–5.81) | <0.001 | 3.46 (1.93–6.19) | <0.001 |
| Gender | ||||||
| Female | 709 (54) | 98 (55) | 1.0 (reference) | 1.0 (reference) | ||
| Male | 616 (46) | 79 (45) | 0.93 (0.68–1.27) | 0.64 | 0.97 (0.70–1.34) | 0.84 |
| Mode of arrival | ||||||
| Personal transport | 907 (69) | 126 (71) | 1.0 (reference) | 1.0 (reference) | ||
| EMS | 252 (19) | 33 (19) | 0.94 (0.63–1.42) | 0.78 | 0.94 (0.61–1.44) | 0.77 |
| Law enforcement | 161 (12) | 18 (10) | 0.81 (0.48–1.36) | 0.41 | 0.78 (0.45–1.33) | 0.35 |
| Payment type | ||||||
| Commercial | 534 (40) | 54 (31) | 1.0 (reference) | 1.0 (reference) | ||
| Medicare or Medicaid | 584 (44) | 87 (49) | 1.47 (1.03–2.11) | 0.04 | 1.54 (1.04–2.27) | 0.03 |
| Other/self-pay | 207 (16) | 36 (20) | 1.72 (1.10–2.70) | 0.02 | 2.08 (1.30–3.32) | 0.002 |
| Diagnosis | ||||||
| Mood disorder | 340 (26) | 43 (24) | 1.41 (0.86–2.32) | 0.18 | 1.57 (0.93–2.63) | 0.09 |
| Suicidal/homicidal ideation | 540 (41) | 89 (50) | 1.84 (1.18–2.87) | 0.008 | 1.93 (1.22–3.06) | 0.005 |
| Altered thought processes | 133 (10) | 17 (10) | 1.42 (0.75–2.69) | 0.28 | 1.44 (0.75–2.77) | 0.27 |
| All others | 312 (24) | 28 (16) | 1.0 (reference) | 1.0 (reference) | ||
EMS, emergency medical services; OR, odds ratio.
a
Values are presented as number (percentage) of patients unless specified otherwise.