TABLE 2.
Multivariable regression results—traumatic brain injury overall compared with orthopedic injurya
3 mo 95% CI |
3-6 mo 95% CI |
6-12 mo 95% CI |
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---|---|---|---|---|---|---|---|---|---|---|---|---|
Outcome | Effect | LL | UL | P | Effect | LL | UL | P | Effect | LL | UL | P |
Overall | ||||||||||||
Indirect costs (absolute difference) | ||||||||||||
Days of work missed | 6.23 | 5.35 | 7.11 | <.0001 | 13.22 | 9.22 | 17.22 | <.0001 | 0.46 | −0.54 | 1.45 | .366 |
Miles traveled | 6.26 | −8.73 | 21.24 | .413 | 3.09 | 2.17 | 4.01 | <.0001 | 2.14 | −2.23 | 6.52 | .338 |
Travel expenses, $ | 0.07 | −17.19 | 17.32 | .994 | 10.39 | −1.88 | 22.65 | .097 | −3.19 | −16.90 | 10.51 | .648 |
Time spent on healthcare encounters, h | −0.16 | −1.84 | 1.51 | .850 | 0.81 | −0.15 | 1.77 | .099 | 1.11 | −0.18 | 2.39 | .092 |
Direct costs (odds ratio) | ||||||||||||
ED visit | 3.04 | 1.12 | 8.24 | .029 | 5.00 | 1.08 | 23.24 | .040 | 2.38 | 0.64 | 8.90 | .198 |
Hospital admission | 1.29 | 0.49 | 3.40 | .608 | 0.28 | 0.01 | 10.63 | .492 | 0.79 | 0.24 | 2.60 | .697 |
OTC medications | 1.17 | 0.79 | 1.73 | .437 | 1.98 | 1.34 | 2.94 | .001 | 1.43 | 0.98 | 2.09 | .066 |
Prescription medications | 0.81 | 0.51 | 1.27 | .353 | 2.34 | 1.19 | 4.59 | .013 | 1.74 | 0.84 | 3.58 | .135 |
Site 1 | ||||||||||||
Indirect costs (absolute difference) | ||||||||||||
Days of work missed | 8.12 | 6.89 | 9.34 | <.0001 | 3.75 | 2.44 | 5.06 | <.0001 | 3.65 | 2.01 | 5.28 | <.0001 |
Miles traveled | 34.36 | 13.04 | 55.67 | .002 | 28.65 | 21.70 | 35.60 | <.0001 | 11.15 | 4.23 | 18.06 | .002 |
Travel expenses, $ | 29.28 | 21.60 | 36.96 | <.0001 | 39.94 | −12.79 | 92.67 | .138 | 3.54 | −13.22 | 20.31 | .679 |
Time spent on healthcare encounters, h | 0.67 | −0.47 | 1.80 | .248 | 2.27 | 0.86 | 3.68 | .002 | 1.78 | −0.26 | 3.82 | .087 |
Direct costs (odds ratio) | ||||||||||||
ED visit | 2.39 | 0.57 | 9.99 | .232 | 22.06 | 1.16 | 420.65 | .040 | … | … | … | … |
Hospital admission | 4.40 | 0.40 | 48.58 | .226 | … | … | … | … | 2.14 | 0.32 | 14.33 | .431 |
OTC medications | 1.40 | 0.79 | 2.49 | .254 | 2.30 | 1.33 | 3.98 | .003 | 1.50 | 0.88 | 2.55 | .132 |
Prescription medications | 0.96 | 0.47 | 1.95 | .913 | 6.53 | 1.78 | 23.91 | .005 | 2.94 | 0.91 | 9.53 | .072 |
Site 2 | ||||||||||||
Indirect costs (absolute difference) | ||||||||||||
Days of work missed | 5.21 | 3.91 | 6.52 | <.0001 | 4.13 | 2.23 | 6.03 | <.0001 | 1.12 | −1.03 | 3.27 | .307 |
Miles traveled | −28.64 | −35.63 | −21.65 | <.0001 | −3.17 | −8.91 | 2.57 | .280 | −8.08 | −13.10 | −3.06 | .002 |
Travel expenses, $ | −46.02 | −80.22 | −11.82 | .008 | −9.59 | −18.56 | −0.63 | .036 | −9.77 | −37.57 | 18.04 | .491 |
Time spent on healthcare encounters, h | −3.12 | −6.17 | −0.06 | .045 | 0.04 | −1.45 | 1.54 | .954 | 0.06 | −0.76 | 0.88 | .894 |
Direct costs (odds ratio) | ||||||||||||
ED visit | 6.61 | 1.11 | 39.37 | .038 | 2.25 | 0.13 | 39.92 | .581 | … | … | … | … |
Hospital admission | 0.72 | 0.17 | 3.04 | .660 | … | … | … | … | 0.22 | 0.01 | 4.49 | .325 |
OTC medications | 1.04 | 0.56 | 1.93 | .889 | 1.73 | 0.92 | 3.26 | .092 | 1.48 | 0.81 | 2.71 | .201 |
Prescription medications | 0.69 | 0.34 | 1.39 | .303 | 2.00 | 0.79 | 5.08 | .145 | 1.22 | 0.40 | 3.72 | .726 |
Abbreviations: CI, confidence interval; ED, emergency department; LL, lower limit; OTC, over-the-counter; UL, upper limit.
Regressions controlled for age, sex, race, admission type, insurance type, parental employment, parental education, marital status, rurality, poverty level, receipt of government financial assistance, indicator for problematic family functioning, and Social Capital Index. Site-specific estimates for hospital admission during months 3 to 6 and ED visits during months 6 to 12 could not be generated because of insufficient number of events.