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. 2022 Sep 20;12(9):e059898. doi: 10.1136/bmjopen-2021-059898

Table 2.

Associations between sociodemographic, clinical and hospital characteristics and study outcomes among amphetamine-related hospitalisations (any diagnostic position)

Characteristic Died Length of stay Discharged against medical advice
No, n (%)
n=1 45 020
Yes, n (%)
n=2000
AOR*
(95% CI)
0–2 days, n (%)
n=53 730
>2 days, n (%)
n=93 290
AOR*
(95% CI)
No, n (%)
n=1 35 915
Yes, n (%)
n=11 105
AOR*
(95% CI)
Age
 18–44 94 320 (65.0) 775 (38.8) Reference 36 325 (67.6) 58 770 (63.0) Reference 87 595 (64.4) 7500 (67.5) Reference
 45–64 47 850 (33.0) 1135 (56.7) 1.54 (1.21 to 1.96)† 16 620 (30.9) 32 365 (34.7) 0.97 (0.91 to 1.02) 45 500 (33.5) 3485 (31.4) 0.84 (0.75 to 0.93)†
 65+ 2850 (2.0) 90 (4.5) 2.04 (1.15 to 3.61)‡ 785 (1.5) 2155 (2.3) 1.06 (0.86 to 1.29) 2820 (2.1) 120 (1.1) 0.47 (0.31 to 0.72)†
Sex
 Male 86 790 (59.8) 1355 (67.7) 1.16 (0.93 to 1.44) 32 045 (59.6) 56 100 (60.1) 0.99 (0.94 to 1.04) 81 040 (59.6) 7105 (64.0) 1.26 (1.15 to 1.38)§
 Female 58 230 (40.2) 645 (32.2) Reference 21 685 (40.4) 37 190 (39.9) Reference 54 875 (40.4) 4000 (36.0) Reference
Race
 White 99 785 (68.8) 1350 (67.5) Reference 36 270 (67.5) 64 865 (69.5) Reference 93 045 (68.5) 8090 (72.9) Reference
 Black 11 845 (8.2) 110 (5.5) 0.57 (0.35 to 0.91)‡ 4455 (8.3) 7500 (8.0) 0.88 (0.79 to 0.98)‡ 11 065 (8.1) 890 (8.0) 0.86 (0.72 to 1.04)
 Hispanic 23 065 (15.9) 365 (18.3) 1.11 (0.83 to 1.48) 8965 (16.7) 14 465 (15.5) 0.95 (0.87 to 1.03) 22 025 (16.2) 1405 (12.7) 0.61 (0.53 to 0.70)§
 Asian or Pacific
 Islander
4435 (3.1) 90 (4.5) 1.16 (0.76 to 1.78) 1725 (3.2) 2800 (3.0) 0.90 (0.76 to 1.06) 4275 (3.1) 250 (2.3) 0.60 (0.43 to 0.83)†
 Native American 2690 (1.9) 35 (1.7) 0.89 (0.43 to 1.87) 1100 (2.0) 1625 (1.7) 0.82 (0.68 to 0.98)‡ 2490 (1.8) 235 (2.1) 1.08 (0.71 to 1.64)
 Other 3200 (2.2) 50 (2.5) 1.29 (0.67 to 2.50) 1215 (2.3) 2035 (2.2) 0.97 (0.81 to 1.16) 3015 (2.2) 235 (2.1) 0.83 (0.56 to 1.22)
Primary payer
 Medicare 20 970 (14.5) 320 (16.0) 0.66 (0.43 to 1.01) 6305 (11.7) 14 985 (16.1) 1.14 (1.02 to 1.27)‡ 19 760 (14.5) 1530 (13.8) 1.61 (1.31 to 1.98)§
 Medicaid 72 445 (50.0) 1010 (50.5) 0.93 (0.64 to 1.35) 26 925 (50.1) 46 530 (49.9) 0.94 (0.86 to 1.03) 67 650 (49.8) 5805 (52.3) 1.63 (1.36 to 1.95)§
 Private insurance 19 675 (13.6) 220 (11.0) Reference 6910 (12.9) 12 985 (13.9) Reference 18 930 (13.9) 965 (8.7) Reference
 Self-pay 24 010 (16.6) 355 (17.8) 1.60 (1.08 to 2.36)† 10 880 (20.2) 13 485 (14.5) 0.66 (0.60 to 0.73)§ 22 015 (16.2) 2350 (21.2) 2.30 (1.90 to 2.79)§
 No charge 0.95 (0.21 to 4.31) 550 (1.0) 810 (0.9) 0.74 (0.55 to 0.99)† 1265 (0.9) 95 (0.9) 1.71 (1.09 to 2.67)†
 Other 1.13 (0.62 to 2.05) 2160 (4.0) 4495 (4.8) 1.17 (0.97 to 1.40) 6295 (4.6) 360 (3.2) 1.15 (0.81 to 1.65)
Median household income
 First quartile (US$1–US$39 999) 53 545 (36.9) 705 (35.3) 1.10 (0.78 to 1.55) 19 600 (36.5) 34 650 (37.1) 0.96 (0.86 to 1.07) 50 165 (36.9) 4085 (36.8) 1.05 (0.89 to 1.23)
 Second quartile (US$40 000–US$50 999) 41 780 (28.8) 625 (31.2) 1.29 (0.92 to 1.81) 15 860 (29.5) 26 545 (28.5) 0.91 (0.82 to 1.00) 39 045 (28.7) 3360 (30.3) 1.10 (0.93 to 1.29)
 Third quartile (US$51000–US$65 999) 31 195 (21.5) 450 (22.5) 1.14 (0.80 to 1.63) 11 700 (21.8) 19 945 (21.4) 0.92 (0.84 to 1.01) 29 375 (21.6) 2270 (20.4) 0.96 (0.82 to 1.12)
 Fourth quartile (US$66 000+) 18 500 (12.8) 220 (11.0) Reference 6570 (12.2) 12 150 (13.0) Reference 17 330 (12.8) 1390 (12.5) Reference
Total elixhauser groups per record
 0–2 55 600 (38.3) 185 (9.2) Reference 24 070 (44.8) 31 715 (34.0) Reference 51 240 (37.7) 4545 (40.9) Reference
 3–4 55 140 (38.0) 585 (29.3) 3.03 (2.07 to 4.43)§ 19 625 (36.5) 36 100 (38.7) 1.37 (1.30 to 1.46)§ 51 640 (38.0) 4085 (36.8) 0.91 (0.82 to 1.02)
 5–6 24 340 (16.8) 660 (33.0) 7.13 (4.71 to 10.79)§ 7660 (14.3) 17 340 (18.6) 1.68 (1.56 to 1.82)§ 23 180 (17.1) 1820 (16.4) 0.92 (0.79 to 1.06)
 7+ 9940 (6.9) 570 (28.5) 14.29 (9.08 to 22.48)§ 2375 (4.4) 8135 (8.7) 2.56 (2.28 to 2.88)§ 9855 (7.3) 655 (5.9) 0.78 (0.62 to 0.97)†
Hospital bedsize**
 Small 23 620 (16.3) 260 (13.0) Reference 9545 (17.8) 14 335 (15.4) Reference 21 980 (16.2) 1900 (17.1) Reference
 Medium 33 305 (23.0) 430 (21.5) 1.25 (0.86 to 1.81) 13 045 (24.3) 20 690 (22.2) 1.04 (0.92 to 1.19) 31 005 (22.8) 2730 (24.6) 0.96 (0.80 to 1.16)
 Large 88 095 (60.7) 1310 (65.5) 1.37 (0.99 to 1.88) 31 140 (58.0) 58 265 (62.5) 1.29 (1.15 to 1.44)§ 82 930 (61.0) 6475 (58.3) 0.87 (0.73 to 1.03)
Hospital ownership/control
 Government, nonfederal 29 900 (20.6) 380 (19.0) Reference 11 125 (20.7) 19 155 (20.5) Reference 28 445 (20.9) 1835 (16.5) Reference
 Private, not-profit 91 835 (63.3) 1310 (65.5) 1.12 (0.84 to 1.49) 33 765 (62.8) 59 380 (63.7) 0.97 (0.87 to 1.07) 85 970 (63.3) 7175 (64.6) 1.29 (1.04 to 1.60)†
 Private, invest-own 23 285 (16.1) 310 (15.5) 1.26 (0.83 to 1.89) 8840 (16.5) 14 755 (15.8) 0.96 (0.82 to 1.13) 21 500 (15.8) 2095 (18.9) 1.48 (1.13 to 1.93)‡
Hospital location/teaching status
 Rural 11 875 (8.2) 85 (4.2) Reference 5165 (9.6) 6795 (7.3) Reference 11 080 (8.2) 880 (7.9) Reference
 Urban nonteaching 44 285 (30.5) 500 (25.0) 1.21 (0.71 to 2.09) 16 025 (29.8) 28 760 (30.8) 1.47 (1.27 to 1.71)§ 40 880 (30.1) 3905 (35.2) 1.05 (0.81 to 1.36)
 Urban teaching 88 860 (61.3) 1415 (70.8) 1.83 (1.10 to 3.04)† 32 540 (60.6) 57 735 (61.9) 1.42 (1.25 to 1.63)§ 83 955 (61.8) 6320 (56.9) 0.90 (0.70 to 1.14)
Hospital region
 Northeast Reference 1590 (3.0) 3340 (3.6) Reference 4520 (3.3) 410 (3.7) Reference
 Midwest 3.40 (0.78 to 14.82) 5945 (11.1) 10 855 (11.6) 0.87 (0.72 to 1.06) 15 865 (11.7) 935 (8.4) 0.55 (0.41 to 0.75)†
 South 35 825 (24.7) 380 (19.0) 3.87 (0.92 to 16.26) 13 155 (24.5) 23 050 (24.7) 0.87 (0.73 to 1.05) 33 855 (24.9) 2350 (21.2) 0.66 (0.50 to 0.87)†
 West 87 625 (60.4) 1460 (73.0) 5.07 (1.22 to 21.04)‡ 33 040 (61.5) 56 045 (60.1) 0.70 (0.58 to 0.83)§ 81 675 (60.1) 7410 (66.7) 1.07 (0.82 to 1.40)

*Adjusted for all factors listed in table.

†p<0.01.

‡p<0.05.

§p<0.001.

¶Data suppressed—10 or fewer observations in some cells.

**Hospital bedsize describes overall a hospital’s size based on its number of short-term acute care beds, location and teaching status. There is no fixed threshold used to denote small, medium and large bedsize hospitals. Additional details on hospital bedsize are available on the HCUP website (www.hcup-us.ahrq.gov).

AOR, adjusted OR; HCUP, Healthcare Cost and Utilisation Project.