Table 3:
Predictors of discordant assessment of Dyspnea between patient and provider – Univariate and Multivariable Analysis
| Modeling probability of discordance | ||
|---|---|---|
| Physician-Patient dyads | Nurse-Patient dyads | |
| (N = 124) | (N = 363) | |
| Univariate Analysis | OR (95% CI) | OR (95% CI) |
| Body Mass Index | 1.00 (0.99 - 1.01) | 1.00 (0.99 - 1.00) |
| Comorbidity score | 1.01 (0.98 - 1.05) | 0.99 (0.96 - 1.01) |
| Respiratory rate at admission | 1.00 (0.99 - 1.02) | 0.99 (0.98 - 1.00) |
| Oxygen Saturation at admission | 1.00 (1.00 - 1.00) | 1.00 (1.00 - 1.00) |
| Age (binary) | ||
| <= 65 years | Referent | Referent |
| > 65 years | 1.21 (0.57 - 2.55) | 0.96 (0.57 - 1.64) |
| Gender | ||
| Female | Referent | |
| Male | 1.10 (0.52 - 2.32) | 0.81 (0.48 - 1.37) |
| Race | ||
| White | Referent | Referent |
| Non-white | 1.02 (0.44 - 2.37) | 1.06 (0.58 - 1.95) |
| Obese (BMI >30) | 1.43 (0.66 - 3.11) | 0.76 (0.44 - 1.30) |
| Smoker | 1.36 (0.61 - 3.05) | 1.04 (0.59 - 1.85) |
| Admitting diagnosis | ||
| Heart Failure | Referent | Referent |
| COPD/Asthma | 0.68 (0.25 - 1.83) | 1.91 (0.98 - 3.73) a |
| Pneumonia | 0.38 (0.10 - 1.40) | 1.07 (0.46 - 2.45) |
| Other | 0.30 (0.11 - 0.82) a | 1.54 (0.76 - 3.11) |
| Depression | 1.21 (0.57 - 2.55) | 1.01 (0.54 - 1.86) |
| Multivariable Analysis | ||
| Admitting Diagnosis | ||
| Congestive heart failure | Referent | Referent |
| COPD | 0.68 (0.25 - 1.83) | 1.91 (0.98 - 3.73)a |
| Pneumonia | 0.38 (0.10 - 1.40) | 1.07 (0.46 - 2.45) |
| Other | 0.30 (0.11 - 0.82)a | 1.54 (0.76 - 3.11) |
NOTE: Abbreviations: BMI, body mass index; CI, confidence interval; COPD, chronic obstructive pulmonary disease; OR, odds ratio.
P < 0.10