Table 5. Factors affecting length of stay in patients with LGIB who underwent colonoscopy.
Variable | Time Ratio | Lower 95 % CI | Upper 95 % CI | P value |
Late colonoscopy | Referent | |||
Early Colonoscopy ( < 24 h) | 0.68 | 0.68 | 0.68 | < 0.001 |
Early Colonoscopy ( < 24 h) [exact-matched] 1 | 0.64 | 0.63 | 0.65 | < 0.001 |
No EGD | Referent | |||
Early EGD | 0.87 | 0.87 | 0.88 | < 0.001 |
Late EGD | 0.96 | 0.96 | 0.97 | < 0.001 |
Age (per decade-increase) | 1.05 | 1.048 | 1.053 | < 0.001 |
Female | 1.05 | 1.045 | 1.056 | < 0.001 |
Weekend admission | 0.99 | 0.980 | 0.991 | < 0.001 |
CCI | 1.04 | 1.036 | 1.039 | < 0.001 |
AKI | 1.20 | 1.19 | 1.21 | < 0.001 |
Colectomy/colostomy in same admission | 2.38 | 2.34 | 2.43 | < 0.001 |
ICU admission | 1.67 | 1.59 | 1.75 | < 0.001 |
PRBC transfusion | 1.06 | 1.05 | 1.07 | < 0.001 |
Insurance | ||||
Medicare | Referent | |||
Medicaid | 1.04 | 1.03 | 1.05 | < 0.001 |
Private | 0.95 | 0.94 | 0.95 | < 0.001 |
Self-pay | 0.98 | 0.96 | 0.99 | 0.006 |
No charge | 1.00 | 0.96 | 1.04 | 0.808 |
Other | 1.00 | 0.98 | 1.02 | 0.709 |
Hospital region | ||||
Northeast | Referent | |||
Midwest | 0.94 | 0.93 | 0.95 | < 0.001 |
South | 0.96 | 0.95 | 0.97 | < 0.001 |
West | 0.86 | 0.85 | 0.87 | < 0.001 |
Hospital location/teaching status | ||||
Rural | Referent | |||
Urban non-teaching | 1.05 | 1.04 | 1.07 | < 0.001 |
Urban teaching | 1.06 | 1.05 | 1.08 | < 0.001 |
Hospital bed size | ||||
Small | Referent | |||
Medium | 1.04 | 1.03 | 1.05 | < 0.001 |
Large | 1.08 | 1.06 | 1.09 | < 0.001 |
Analysis N = 794,455. Geometric mean length of stay: 3.5 days.
Area under the curve: 0.774
Time ratios reflect % change over the geometric mean length of stay
LGIB, lower gastrointestinal bleeding; CI, confidence interval; EGD, esophagogastroduodenoscopy; CCI, Charlson Comorbidity Index; ICU, intensive care unit.
These results are derived from multivariable analysis using mixed-effects accelerated-failure-time (AFT) model with log-normal distribution.
Exact-matched analysis on variables marked 1 in Table 1 and on number of diagnostic/operative procedures (in addition to colonoscopy), yielding 14,903 matched observations (early colonoscopies n = 7,606), among 5,309 matching strata.