Table 3. Factors associated with inpatient mortality in patients who underwent colonoscopy.
Variable | Odds Ratio | Lower 95 % CI | Upper 95 % CI | P value |
Late colonoscopy | Referent | |||
Early colonoscopy (< 24 h) | 1.08 | 0.93 | 1.25 | 0.336 |
Early colonoscopy (< 24 h) [exact-matching] 1 | 1.77 | 0.70 | 4.50 | 0.23 |
No EGD | Referent | |||
Early EGD | 1.16 | 0.99 | 1.35 | 0.060 |
Late EGD | 0.91 | 0.76 | 1.09 | 0.317 |
Age (per decade-increase) | 1.44 | 1.35 | 1.55 | < 0.001 |
Female | 0.83 | 0.72 | 0.95 | 0.006 |
Weekend admission | 1.12 | 0.96 | 1.29 | 0.149 |
CCI | 1.33 | 1.30 | 1.36 | < 0.001 |
Non-diverticular bleed | 0.91 | 0.78 | 1.05 | 0.185 |
AKI | 2.84 | 2.43 | 3.32 | < 0.001 |
Colectomy/colostomy in same admission | 9.76 | 8.02 | 11.88 | < 0.001 |
ICU admission | 18.78 | 14.66 | 24.06 | < 0.001 |
PRBC Transfusion | 1.30 | 1.13 | 1.50 | < 0.001 |
Hospital region | ||||
Northeast | Referent | |||
Midwest | 0.72 | 0.57 | 0.89 | 0.003 |
South | 0.85 | 0.71 | 1.02 | 0.080 |
West | 0.86 | 0.70 | 1.05 | 0.132 |
Hospital location/teaching status | ||||
Rural | Referent | |||
|
0.96 | 0.75 | 1.23 | 0.766 |
|
0.93 | 0.72 | 1.19 | 0.541 |
Hospital bed size | ||||
Small | Referent | |||
Medium | 0.90 | 0.71 | 1.15 | 0.390 |
Large | 1.00 | 0.80 | 1.24 | 0.969 |
Analysis N = 798,720. Mean variance inflation factor: 2.76
Intraclass correlation coefficient: 0.116
Area under the curve ROC: 0.913
CI, confidence interval; EGD, esophagogastroduodenoscopy; AKI, acute kidney injury; CCI, Charlson Comorbidity Index; ICU, intensive care unit; PRBC, packed red blood cell.
These results are derived from multivariable analysis using mixed-effects logistic regression.
Exact-Matched Analysis on variables marked 1 in Table 1, yielding 19,631 matched observations (early colonoscopies n = 10,001), among 6,947 matching strata.