Table 2.
Logistic Regression Analysis of Likelihood of Receiving Palliative Care Consult (PCC)
| African American patients | White patients | ||||||
|---|---|---|---|---|---|---|---|
| Parameter | Odds Ratio | 95% Confidence Interval for Odds Ratio | Odds Ratio | 95% Confidence Interval for Odds Ratio | |||
| Age (years) | 18–39 | 0.201 | (0.112,0.359) | 0.511 | (0.356,0.733) | ||
| 40–55 | 0.392 | (0.266,0.576) | 0.604 | (0.461,0.79) | |||
| 56–65 | 0.591 | (0.416,0.839) | 0.789 | (0.626,0.994) | |||
| 66–75 | 0.511 | (0.364,0.717) | 0.691 | (0.553,0.864) | |||
| >75 | - | - | - | - | |||
| Gender | Male | 0.896 | (0.71,1.131) | 0.732 | (0.624,0.858) | ||
| Female | - | - | - | - | |||
| Medicaid* | Yes | 1.256 | (0.911,1.733) | 1.325 | (0.912,1.925) | ||
| No | - | - | - | - | |||
| Primary Diagnosis | Cancer | - | - | - | - | ||
| Cardiovascular disorder and Heart Failure | 0.32 | (0.22,0.466) | 0.365 | (0.284,0.469) | |||
| Endocrine disorder | 0.226 | (0.105,0.487) | 0.649 | (0.383,1.098) | |||
| GI disorder | 0.35 | (0.213,0.573) | 0.638 | (0.472,0.863) | |||
| Gynecologic or urologic disorder | 0.292 | (0.162,0.525) | 0.461 | (0.284,0.748) | |||
| Infectious disease and Sepsis | 0.33 | (0.223,0.488) | 0.607 | (0.461,0.8) | |||
| Neurologic disorder | 0.244 | (0.151,0.396) | 0.463 | (0.324,0.663) | |||
| Respiratory disorder | 0.469 | (0.275,0.798) | 1.105 | (0.786,1.553) | |||
| Other | 0.311 | (0.196,0.493) | 0.448 | (0.316,0.635) | |||
| APR-DRG Risk of Mortality | Minor | 0.021 | (0.011,0.041) | 0.016 | (0.01,0.026) | ||
| Moderate | 0.096 | (0.065,0.143) | 0.11 | (0.086,0.142) | |||
| Major | 0.47 | (0.35,0.633) | 0.464 | (0.38,0.566) | |||
| Severe | - | - | - | - | |||
| ICU during index admission | Yes | 1.317 | (1.018,1.704) | 1.347 | (1.138,1.595) | ||
| No | - | - | - | - | |||
| ICU > 6 days during index admission | Yes | 1.589 | (1.118,2.258) | 1.698 | (1.362,2.118) | ||
| No | - | - | - | - | |||
| Seen by Oncology in index admission | Yes | 1.764 | (1.251,2.487) | 1.703 | (1.394,2.08) | ||
| No | - | - | - | - | |||
| Admitted to hospital 30 days prior | Yes | 17.643 | (12.064,25.801) | 23.996 | (18.703,30.786) | ||
| No | - | - | - | - | |||
| Parameter (Continuous Variable) | Estimate | SE | P-Value | Estimate | SE | P-Value | |
| Direct Cost of index admission (impact per $1,000) * | 2.92*10−3 | 1.52*10−3 | .0535 | 1.72*10−3 | 9.55*10−4 | 0.072 | |
Abbreviation: SE, standard error
*
For every increase of $1000 in direct costs, the estimate shows the expected increase in getting a palliative care consult.