Table 2:
Logistic Regression Results Predicting Postoperative Admissions in 26,019 VA Hernia Surgeries (FY12-14, 109 VA Hospitals, 14 VA ambulatory surgery centers (ASCs))
| Significant Predictors | β Coefficent (Standard Error) | Odds Ratio (95% Confidence Interval) |
|---|---|---|
| ASC | −0.11 (0.25) | 0.9 (0.56-1.45) |
| Age 1st quintile | REF | REF |
| 5th quintile | 0.82 (0.19) | 2.27 (1.55-3.33) |
| Distance (miles) to nearest VA Medical Center 1st quintile | REF | REF |
| 5th quintile | −0.4 (0.19) | 0.67 (0.46-0.97) |
| FY12 area median per capita income (US Dollars) 1st quintile | REF | REF |
| 3rd quintile | −0.41 (0.18) | 0.66 (0.47-0.94) |
| No comorbidities | REF | REF |
| Patient # of comorbidities =4 | 0.71 (0.36) | 2.04 (1.01-4.14) |
| Patient # of comorbidities =6 | 0.95 (0.47) | 2.6 (1.04-6.48) |
| Cardiac arrhythmia | 0.43 (0.13) | 1.53 (1.19-1.97) |
| Duration of Surgery 1st quintile | REF | REF |
| 5th quintile | 0.9 (0.16) | 2.46 (1.79-3.39) |
| FY12 hospital beds in area 1st quintile | REF | REF |
| 2nd quintile | −0.35 (0.17) | 0.71 (0.51-0.98) |
| Surgery performed in Oct FY12 | REF | REF |
| Surgery performed in Feb FY14 | −1.35 (0.59) | 0.26 (0.08-0.82) |
Note: Bolded value indicates significant variable in model. Model performance: pseudo r2=0.09, c-statistic=0.76. Predictors in the logistic regression model that were not significantly associated with postoperative admission include: sex, race, age quintiles 2-4, service connected disability, distance from VAMC quintiles 2-4, FY12 area median per capita income 2nd, 4th and 5th quintile, patient with 1-3, 5, 7 total comorbidities, individual comorbidities (e.g., AIDS) excepting cardiac arrhythmia, duration of surgery quintiles 2-4, ASA score, facility surgical volume, FY12 area hospital bed supply quintiles 3-5, facility’s geographic region, and month/years of the hernia surgery Nov FY12 – Sep FY14 excepting Feb FY14.