Table 2.
Hospital Quartile 1 (n = 4,553) | Hospital Quartile 2 (n = 7,144) | Hospital Quartile 3 (n = 6,626) | Hospital Quartile 4 (n = 4,383) | P Value* | |
---|---|---|---|---|---|
No. of Hospitals |
53 |
54 |
52 |
53 |
|
NIV-SEC rate, % |
18.6 |
26.8 |
33.5 |
42.0 |
|
Age, mean (SD), yr | 68.8 (15.4) | 69.1 (15.4) | 69.5 (14.7) | 68.0 (14.9) | 0.07 |
Female, % | 51.1 | 53.2 | 53.5 | 53.4 | 0.06 |
Race/ethnicity, % | <0.0001 | ||||
White | 62.7 | 58.3 | 55.7 | 52.2 | |
Black | 8.2 | 9.4 | 11.3 | 21.0 | |
Hispanic | 13.3 | 17.2 | 18.3 | 15.9 | |
Other† | 15.8 | 15.0 | 14.7 | 10.9 | |
Primary payer, % | <0.0001 | ||||
Medicare | 66.3 | 65.0 | 69.0 | 66.8 | |
Medicaid | 11.3 | 15.5 | 15.9 | 19.3 | |
Private Insurance | 17.2 | 14.1 | 9.4 | 8.9 | |
Other† | 5.3 | 5.4 | 5.7 | 5.0 | |
Median income of patient ZIP code, % | <0.0001 | ||||
Low | 18.1 | 22.9 | 34.2 | 47.2 | |
Low middle | 22.4 | 26.8 | 30.3 | 17.9 | |
Upper middle | 25.3 | 24.1 | 21.5 | 22.1 | |
High | 31.5 | 24.7 | 12.1 | 11.0 | |
Other† | 2.8 | 1.5 | 1.9 | 1.8 | |
Elixhauser comorbidity score, mean (SD)‡ | 9.3 (8.2) | 9.2 (8.1) | 9.2 (8.1) | 8.6 (8.1) | <0.0001 |
Shock POA, % | 11.2 | 12.7 | 11.3 | 9.5 | 0.0014 |
Acute respiratory failure POA, % | 29.3 | 37.0 | 38.5 | 41.2 | <0.0001 |
Acute renal failure POA, % | 19.9 | 21.3 | 20.2 | 20.3 | 0.87 |
Acute neurologic failure POA, % | 8.0 | 8.0 | 7.6 | 6.6 | 0.01 |
Acute hematologic failure POA, % | 8.4 | 8.3 | 7.8 | 6.7 | 0.0019 |
Acute hepatic failure POA, % | 2.0 | 1.8 | 1.7 | 1.7 | 0.23 |
Acute metabolic failure POA, % | 12.0 | 11.5 | 12.4 | 11.6 | 0.97 |
Definition of abbreviations: NIV = noninvasive ventilation; POA = present on admission; SEC = strong evidence condition.
Mantel-Haenszel chi-square and Cochrane-Armitage tests for trends were used for categorical variables, and linear regression to test for trends across quartiles was used for continuous variables.
Includes patients with missing data.
Calculated without cardiac arrhythmia comorbidity per HCUP (Healthcare Cost and Utilization Project) software (33).