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 |