Table 2.
Adjusted multivariable logistic regression of palliative care consultation by conditiona
| Heart Failure (OR, 95% CI) | Chronic Obstructive Pulmonary Disease (OR, 95% CI) | Malignant (OR, 95% CI) | |
|---|---|---|---|
| Age (years) | |||
| 65 – 69 | -- | -- | -- |
| 70 – 74 | 1.30 (1.21 – 1.40) | 1.41 (1.30 – 1.53) | 1.14 (1.09 – 1.02) |
| 75 – 79 | 1.70 (1.59 – 1.83) | 1.70 (1.57 – 1.85) | 1.23 (1.17 – 1.29) |
| 80 – 84 | 2.32 (2.18 – 2.48) | 2.15 (1.98 – 2.34) | 1.39 (1.31 – 1.46) |
| ≥85 | 3.94 (3.70 – 4.19) | 2.61 (2.40 – 2.83) | 1.74 (1.65 – 1.84) |
| Female sex (referent = male) | 0.99 (0.96 – 1.02) | 0.96 (0.91 – 1.01) | 1.09 (1.05 – 1.12) |
| Race/Ethnicity | |||
| White | -- | -- | -- |
| Black | 0.63 (0.59 – 0.67) | 0.52 (0.47 – 0.58) | 0.92 (0.85 – 0.99) |
| Hispanic | 0.72 (0.66 – 0.79) | 0.53 (0.45 – 0.62) | 0.78 (0.68 – 0.88) |
| Asian | 0.75 (0.66 – 0.86) | 0.62 (0.48 – 0.80) | 0.86 (0.76) – 0.98) |
| Other | 0.80 (0.70 – 0.91) | 0.64 (0.52 – 0.79) | 0.87 (0.74 – 1.02) |
| Charlson Comorbidity Index (CCI) | |||
| CCI ≤1 | -- | -- | |
| CCI 2 | 0.88 (0.83 −0.93) | 0.94 (0.88 – 1.00) | 1.78 (1.26 – 2.51) |
| CCI ≥3 | 1.20 (1.14 – 1.27) | 1.05 (0.98 – 1.11) | 2.38 (1.69 – 3.36) |
| Hospital Region | |||
| Northeast | -- | -- | -- |
| Midwest | 1.41 (1.28 – 1.55) | 1.41 (1.25 – 1.60) | 1.12 (1.00 – 1.26) |
| South | 1.17 (1.06 – 1.31) | 1.13 (0.99 – 1.29) | 1.27 (1.14 – 1.55) |
| West | 1.72 (1.55 – 1.91) | 2.01 (1.73 – 2.34) | 1.33 (1.14 – 1.55) |
| Tax Status | |||
| Not-for-profit | -- | -- | -- |
| Government | 0.78 (0.70 – 0.88) | 0.83 (0.73 – 0.95) | 0.82 (0.73 – 0.93) |
| For-profit | 0.59 (0.53 – 0.66) | 0.62 (0.51 – 0.75) | 0.61 (0.53 – 0.70) |
| Urban hospital (referent = rural) | 1.67 (1.50 – 1.86) | 1.82 (1.57 – 2.10) | 1.13 (1.00 – 1.27) |
| Teaching hospital (referent = non-teaching) | 1.28 (1.19 – 1.38) | 1.49 (1.32 – 1.67) | 1.01 (1.00 – 1.22) |
| Hospital bedsize | |||
| Small | -- | -- | -- |
| Medium | 1.32 (1.21 – 1.44) | 1.44 (1.26 – 1.64) | 1.09 (0.93 – 1.28) |
| Large | 1.50 (1.38 – 1.63) | 1.62 (1.44 – 1.82) | 1.09 (0.93 – 1.28) |
a
Also controlling for missing race, discharge year, payer, and elective vs. emergent admission