Table 3.
Predictors of Delayed Recognition of Critical Illness: Results From the Multivariate Logistic Regression Model.
| Predictors | OR | 95% CI | |
|---|---|---|---|
| Age*** | 1.03 | 1.01 | 1.05 |
| Female Sex (Reference: Male) | 1.26 | 0.80 | 2.00 |
| Race | |||
| Caucasian | Reference | ||
| African American | 1.66 | 0.89 | 3.12 |
| Hispanic/Latino | 1.14 | 0.61 | 2.15 |
| Other/Unknown | 1.46 | 0.67 | 3.18 |
| Payor | |||
| Medicare or Private Payor | Reference | ||
| Medicaid | 1.20 | 0.67 | 2.16 |
| Self-pay/Other | 0.50 | 0.12 | 2.01 |
| Charlson Comorbidity Score | 1.06 | 0.96 | 1.16 |
| Critical Illness Diagnosis Category | |||
| Respiratory failure | Reference | ||
| Septic shock | 0.78 | 0.40 | 1.53 |
| Gastrointestinal bleed | 0.72 | 0.30 | 1.71 |
| Cardiovascular illness | 0.46 | 0.17 | 1.22 |
| Other | 0.43 | 0.14 | 1.28 |
| Unknown/none | 0.72 | 0.34 | 1.52 |
| Origin from nursing home or facility vs. home | 1.15 | 0.48 | 2.78 |
| Severity of Illness Score (Log10MPM0-III score)*** | 0.26 | 0.12 | 0.53 |
| ED Arrival to First ICU Consult (Hours)*** | 1.14 | 1.11 | 1.17 |
| Volume of high intensity ED patients (requiring eventual admission) | |||
| First quartile | Reference | ||
| Second quartile | 0.85 | 0.45 | 1.60 |
| Third quartile | 1.17 | 0.64 | 2.14 |
| Fourth quartile** | 0.45 | 0.23 | 0.89 |
Statistically significant,
***
p < 0.01
**
p < 0.05.
Abbreviations: OR = Odds ratio; 95% CI = 95% Confidence Interval; ICU = Intensive Care Unit; Log10 MPM0-III = Logarithm of Mortality Probability Model on Admission; ESI = Emergency Severity Index.