TABLE 3.
Weighted Multivariable Logistic Regression for Opioids Prescribed at ED Discharge (DC-RX)
| Variable | OR | 95% CI | P | |
|---|---|---|---|---|
| Age, y | 1.14 | 1.11 | 1.17 | <0.0001 |
| Race, White vs other | 1.32 | 1.05 | 1.67 | 0.02 |
| Geographic region | ||||
| Midwest vs Northeast | 2.58 | 1.81 | 3.67 | <0.0001 |
| South vs Northeast | 3.93 | 2.85 | 5.43 | <0.0001 |
| West vs Northeast | 3.27 | 2.38 | 4.49 | <0.0001 |
| Year | ||||
| 2014 vs 2018 | 3.12 | 2.13 | 4.57 | <0.0001 |
| 2015 vs 2018 | 2.53 | 1.75 | 3.64 | <0.0001 |
| 2016 vs 2018 | 1.99 | 1.41 | 2.82 | 0.0001 |
| 2017 vs 2018 | 1.41 | 0.98 | 2.03 | 0.07 |
| Expected source of payment | ||||
| Medicaid/CHIP/State-based vs private | 0.73 | 0.60 | 0.91 | 0.004 |
| Other vs private | 0.95 | 0.74 | 1.22 | 0.7 |
| Pain scale | 1.22 | 1.18 | 1.25 | <0.0001 |
| Systolic blood pressure | 1.01 | 1.00 | 1.01 | 0.02 |
| Diastolic blood pressure | 1.01 | 1.00 | 1.01 | 0.2 |
| No. nonopioid medications prescribed at discharge | 1.26 | 1.17 | 1.35 | <0.0001 |
| No. nonopioid medications given in the ED | 1.10 | 1.05 | 1.16 | 0.0001 |
| Nonopioid analgesics ordered, yes vs no | 0.76 | 0.62 | 0.92 | 0.006 |
| Injury discharge diagnoses | ||||
| Fracture, yes vs no | 5.91 | 4.24 | 8.25 | <0.0001 |
| Contusion, yes vs no | 1.38 | 1.09 | 1.74 | 0.007 |
| Sports injury, yes vs no | 1.51 | 1.04 | 2.19 | 0.0 |
| Pain related discharge diagnoses | ||||
| Abdominal, yes vs no | 4.11 | 2.19 | 7.69 | <0.0001 |
| Pain-related reason for visit | ||||
| Tooth, yes vs no | 5.47 | 3.84 | 7.79 | <0.0001 |
| Chest, yes vs no | 0.37 | 0.23 | 0.59 | <0.0001 |
| Imaging ordered | ||||
| CT Scan, yes vs no | 1.33 | 1.02 | 1.73 | 0.04 |
| X-ray, yes vs no | 1.57 | 1.29 | 1.90 | <0.0001 |
| Emergency residency program | ||||
| No vs yes | 0.84 | 0.63 | 1.13 | 0.2 |