Table 1.
Characteristics of patients hospitalized for asthma and independent factors associated with receipt of antibiotic treatment.
Included patients, % | Patients receiving antibiotics on day 1, % | p-value | Adjusted OR (95%CI) | |
---|---|---|---|---|
Overall | N=51951 | 41 | ||
| ||||
Age | <0.01 | |||
| ||||
<40 | 25 | 35 | 0.8 (0.7–0.8) | |
40–65 | 53 | 42 | 0.9 (0.9–1.0) | |
>65 | 22 | 46 | ref | |
| ||||
Gender | <0.01 | |||
| ||||
Female | 70 | 41 | – | |
Male | 30 | 40 | – | |
Race/Ethnicity | <0.01 | |||
White | 46 | 46 | ref | |
Black | 30 | 36 | 0.8 (0.7–0.8) | |
Hispanic | 10 | 39 | 0.9 (0.9–1.0) | |
Other | 14 | 36 | 0.9 (0.9–1.0) | |
| ||||
Marital Status | <0.01 | |||
| ||||
Married | 29 | 44 | – | |
Single | 58 | 40 | – | |
Other/Missing | 13 | 37 | – | |
| ||||
Insurance | <0.01 | |||
| ||||
Medicare | 35 | 45 | – | |
Medicaid | 24 | 38 | – | |
Private | 24 | 40 | – | |
Uninsured | 13 | 38 | – | |
Other/Unknown | 3 | 36 | – | |
| ||||
Comorbidities | ||||
| ||||
Hypertension | 53 | 43 | <0.01 | – |
Diabetes | 28 | 43 | <0.01 | – |
Obesity | 28 | 43 | <0.01 | 1.1 (1.0–1.1) |
Fluid and electrolyte disorders | 20 | 43 | <0.01 | 1.1 (1.0–1.1) |
Chronic pulmonary disease | 13 | 42 | 0.02 | – |
Depression | 15 | 44 | <0.01 | – |
Congestive heart failure | 13 | 41 | 0.48 | 0.8 (0.8–0.9) |
Deficiency anemias | 10 | 40 | 0.24 | 0.9 (0.9–1.0) |
Renal failure | 7 | 40 | 0.15 | 0.9 (0.8–0.9) |
| ||||
Receipt of mechanical ventilation | ||||
| ||||
Yes | 13 | 42 | 0.06 | – |
No | 87 | 41 | – | |
| ||||
Chronic obstructive asthma (493.2x) | <0.01 | |||
| ||||
No | 62 | 36 | ref | |
Yes | 38 | 49 | 1.6 (1.5–1.7) | |
Hospital Characteristics | ||||
| ||||
Bed Size | <0.01 | |||
| ||||
Small, <200 | 19 | 48 | – | |
Medium, 200–400 | 38 | 43 | – | |
Large, >400 | 43 | 36 | – | |
| ||||
Region | <0.01 | |||
| ||||
South | 10 | 43 | ref | |
Midwest | 23 | 40 | 0.8 (0.7–1.0) | |
Northeast | 20 | 32 | 0.6 (0.5–0.7) | |
West | 48 | 45 | 0.8 (0.6–0.9) | |
| ||||
Rural/Urban Status | <0.01 | |||
| ||||
Urban | 89 | 40 | – | |
Rural | 11 | 50 | – | |
| ||||
Teaching Status | <0.01 | |||
| ||||
Non-Teaching | 58 | 46 | ref | |
Teaching | 42 | 34 | 0.7 (0.6–0.8) |