Table 2.
Coefficient | Std. Error | p-value | 95% CI | % change | |
---|---|---|---|---|---|
Demographics | |||||
Age (Referent: Age 70 years and over) | |||||
0–17 | − 0.54 | −5.23 | 0.000 | [− 0.74, − 0.34] | −41.7 |
18–29 | − 0.07 | − 0.98 | 0.328 | [− 0.22, 0.07] | −7.0 |
30–49 | − 0.06 | − 1.65 | 0.100 | [− 0.13, 0.01] | −5.6 |
50–69 | 0.04 | 2.66 | 0.008 | [0.01, 0.06] | 3.7 |
Gender (Referent: Male) | |||||
Female | −0.06 | −8.79 | 0.000 | [−0.07, − 0.05] | −5.7 |
Race (Referent: White) | |||||
Black/African American | 0.18 | 4.16 | 0.000 | [0.1, 0.27] | 20.0 |
Other | 0.04 | 1.66 | 0.097 | [− 0.01, 0.09] | 4.3 |
Ethnicity (Referent: Non-Spanish/Hispanic) | |||||
Spanish/Hispanic | 0.04 | 0.97 | 0.332 | [−0.04, 0.11] | 3.6 |
Multiple ethnicities | 0.00 | 0.05 | 0.963 | [−0.17, 0.18] | 0.4 |
Unknown | 0.00 | 0.11 | 0.909 | [−0.08, 0.09] | 0.5 |
Clinical Indicator | |||||
Type of admission (Referent: Otherc) | |||||
Emergency, Trauma, Urgent | −0.47 | −6.50 | 0.000 | [−0.62, − 0.33] | −37.8 |
APR-DRG severity of Illness (Referent: Minor) | |||||
Moderate | 0.10 | 12.56 | 0.000 | [0.08, 0.12] | 10.5 |
Major | 0.25 | 20.36 | 0.000 | [0.23, 0.28] | 28.6 |
Extreme | 0.74 | 26.93 | 0.000 | [0.68, 0.79] | 108.9 |
APR-DRG risk of mortality (Referent: Minor) | |||||
Moderate | 0.12 | 13.79 | 0.000 | [0.11, 0.14] | 13.3 |
Major | 0.31 | 23.27 | 0.000 | [0.28, 0.33] | 36.2 |
Extreme | 0.49 | 19.73 | 0.000 | [0.44, 0.54] | 63.5 |
Hospital Indicators | |||||
Safety-net hospital status (SNH) (Referent: No) | |||||
Yes | 0.11 | 2.93 | 0.003 | [0.04, 0.18] | 11.7 |
Health insurance type (Referent: Commericald) | |||||
Medicaid | 0.22 | 8.34 | 0.000 | [0.17, 0.27] | 24.9 |
Medicare | 0.01 | 0.88 | 0.376 | [−0.02, 0.05] | 1.5 |
Dual Eligible (Medicaid/Medicare) | 0.03 | 1.11 | 0.266 | [−0.02, 0.08] | 2.9 |
Self-pay | −0.04 | −0.78 | 0.437 | [−0.13, 0.06] | −3.7 |
Other/unknowne | 0.15 | 4.31 | 0.000 | [0.08, 0.22] | 16.3 |
Disposition (Referent: Homef) | |||||
Expired | −0.33 | −9.09 | 0.000 | [−0.4, − 0.26] | −27.8 |
Inpatient rehabilitation facility | −0.04 | −1.14 | 0.254 | [−0.11, 0.03] | −3.9 |
Nursing home/long term careg | 0.02 | 0.28 | 0.782 | [−0.13, 0.17] | 2.1 |
Skilled nursing facility | −0.01 | −0.26 | 0.795 | [−0.05, 0.04] | − 0.6 |
Otherh | −0.26 | −6.83 | 0.000 | [−0.33, − 0.18] | −22.6 |
N | 48,948 |
Note. a. hospital type includes safety-net hospitals and non-safety-net hospitals where safety-net hospitals were defined as hospitals with a payer mix consisting of at least 30% of Medicaid and uninsured payers. b. illustrated statistics are coefficients and percent change amounts calculated through negative binomial regression models; the sample consisted of hip fracture patients from the SPARCS database with full covariate information; standard errors and 95% confidence intervals for the coefficients are also reported. c. other admission types include: elective, newborn, and not available. d. commercial insurance includes: Blue Cross/Blue Shield; managed care, unspecific; and private health insurance. e. other insurance in: Department of Corrections; federal/state/local/VA; other/miscellaneous; and unknown. f. patient discharged to: home or self-care; home with home health service; hospice (home); or left against medical advice. g. Medicaid Certified Nursing Home; Medicare Certified Long Term Care facility. h. patient discharged to: another facility not listed; cancer center or children’s hospital; court/law enforcement; critical access hospital; facility with custodial/supportive care; federal health care facility; hospital-based Medicare approved swing bed; hospice-medical facility; psychiatric hospital; short-term hospital