Table 2.
Association between hospital rural status and odds of mortality or good outcome in intracerebral hemorrhage patients admitted to US hospitals from 2010–2014
| Variable | Rural hospitals versus urban hospitals | |||||||
|---|---|---|---|---|---|---|---|---|
| All patients (model 1) | Patients without DNR/palliative care (model 2) | |||||||
| Weighted N | OR | 95% CI | p value | Weighted N | OR | 95% CI | p value | |
| In-hospital mortality | ||||||||
| All patients | 292,960 | 2.07 | 1.77–2.41 | < 0.001 | 217,691 | 2.29 | 1.82–2.88 | < 0.001 |
| Patients residing in rural locations | 49,681* | 2.36 | 1.84–3.02 | < 0.001 | 36,185* | 2.70 | 1.94–3.77 | < 0.001 |
| Patients residing in urban locations | 240,004* | 1.72 | 1.11–2.68 | 0.015 | 179,100* | 1.54 | 0.93–2.55 | 0.092 |
| Good outcome (defined as routine home discharge) | ||||||||
| All patients | 219,963 | 0.97 | 0.83–1.12 | 0.664 | 189,863 | 0.96 | 0.83–1.13 | 0.687 |
DNR Do-not-resuscitate orders
All models adjusted for age, sex, race, income, insurance status, Elixhauser score, atrial fibrillation, coronary artery disease, dementia, obesity, aphasia, cranial nerve palsy, coma, craniectomy, dysphagia, external ventricular drain/ventriculoperitoneal shunt, hemiplegia, any hydrocephalus, dyslipidemia, do not resuscitate, palliative care, smoking, tracheostomy, gastrostomy, mechanical ventilation, year, chronic alcohol abuse, coagulopathy, weekend admission, all patient refined diagnosis-related groups (APR-DRG) for mortality, APR-DRG for severity of illness, hospital teaching status, yearly intracerebral hemorrhage volume, hospital region, hospital bedsize
*Weighted N does not add up to that of all patients because county of residence was unknown in 1.4% of patients