Table 3.
ORs and 95% CIs of patient and hospital predictors for ADEs related to common asthma medications in hospitalized US children, 2000–2016
| Variables | Corticosteroid ADEs | Bronchodilator ADEs | ||
|---|---|---|---|---|
| Crude ORa, 95% CI | Adjusted ORb, 95% CI | Crude ORa, 95% CI | Adjusted ORd, 95% CI | |
| Age, years | ||||
| 0–4 (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| 5–11 | 1.93 (1.78–2.09)** | 1.74 (1.63–1.85)** | 1.59 (1.49–1.71)** | 1.45 (1.38–1.52)** |
| 12–20 | 3.89 (3.56–4.25)** | 2.17 (2.03–2.31)** | 0.97 (0.87–1.07) | 0.83 (0.78–0.89)** |
| Sex | ||||
| Male (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Female | 1.35 (1.27–1.43)** | N/Ac | 1.0 (0.95–1.05) | N/Ac |
| Race/ethnicity | ||||
| Non-Hispanic white (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Non-Hispanic black | 1.03 (0.93–1.13) | 0.96 (0.91–1.02) | 1.71 (1.47–1.99)** | 1.29 (1.22–1.36)** |
| Hispanic | 0.81 (0.73–0.89)** | 0.88 (0.82–0.95)** | 1.12 (0.93–1.35) | 0.94 (0.88–1.00) |
| Other | 0.78 (0.68–0.89)** | 0.88 (0.80–0.97)* | 1.41 (1.17–1.69)** | 1.23 (1.13–1.33)** |
| Insurance | ||||
| Government (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Private | 1.06 (0.99–1.13) | 1.15 (1.09–1.21)** | 0.79 (0.70–0.88)** | 0.91 (0.87–0.95)** |
| Other/self-pay | 1.52 (1.35–1.71)** | 1.46 (1.35–1.58)** | 0.92 (0.74–1.16) | 0.96 (0.88–1.04) |
| Comorbidities (yes/no) | ||||
| Infectious and parasitic disease | 1.38 (1.27–1.50)** | N/Ac | 2.14 (1.92–2.39)** | 1.65 (1.57–1.74)** |
| Neoplasms | 3.37 (2.65–4.30)** | 1.22 (1.07–1.39)* | 0.28 (0.18–0.44)** | 0.19 (0.13–0.28)** |
| Endocrine, nutritional, and metabolic diseases | 6.74 (6.29–7.23)** | 4.83 (4.60-5.07)** | 2.48 (2.24–2.74)** | 2.31 (2.20–2.42)** |
| Diseases of blood and blood-forming organs | 6.39 (5.84–6.99)** | 4.01 (3.79–4.24)** | 0.98 (0.85–1.12) | 0.76 (0.69–0.83)** |
| Mental disorders | 1.92 (1.76–2.10)** | 0.92 (0.86–0.98)* | 0.84 (0.76–0.92)** | 0.76 (0.70–0.82)** |
| Nervous system diseases | 0.93 (0.85–1.02) | 0.67 (0.62–0.72)** | 0.52 (0.46–0.59)** | 0.49 (0.45–0.54)** |
| Circulatory system diseases | 4.49 (4.04–4.99)** | 1.75 (1.63–1.88)** | 3.36 (2.70–4.19)** | 3.01 (2.8–3.24)** |
| Digestive system diseases | 1.88 (1.71–2.07)** | 0.81 (0.76–0.87)** | 0.71 (0.63–0.80)** | 0.52 (0.48–0.57)** |
| Skin and subcutaneous tissue diseases | 1.42 (1.28–1.57)** | 1.26 (1.17–1.35)** | 2.28 (2.07–2.50)** | 1.69 (1.59–1.79)** |
| Musculoskeletal system diseases | 2.19 (1.89–2.54)** | 0.87 (0.79–0.96)* | 0.53 (0.42–0.68)** | 0.41 (0.34–0.48)** |
| Hospital location, teaching status | ||||
| Rural | 0.83 (0.72–0.95)** | 1.08 (0.99–1.19) | 0.13 (0.09–0.18)** | 0.15 (0.13–0.18)** |
| Urban non-teaching | 1.12 (1.01–1.24)* | 1.40 (1.32–1.48)** | 0.24 (0.18–0.33)** | 0.27 (0.25–0.29)** |
| Urban teaching (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Hospital region | ||||
| Northeast | 0.65 (0.56–0.76)** | 0.75 (0.70–0.80)** | 0.86 (0.59–1.26) | 0.69 (0.65–0.73)** |
| Midwest | 1.03 (0.90–1.17) | 0.92 (0.86–0.98)* | 1.48 (1.02–2.17)* | 1.36 (1.29–1.44)** |
| South (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| West | 0.86 (0.75–0.99)* | 0.86 (0.81–0.92)** | 1.01 (0.71–1.43) | 1.04 (0.98–1.11) |
ADE adverse drug events, CI confidence interval, N/A not available, OR odds ratio, ref reference
*p < 0.05; *p < 0.001
aUnivariate logistic regression
bStepwise multivariate logistic regression adjusting for age, sex, race/ethnicity, insurance, other health conditions, hospital location teaching status, and hospital region
cDropped by the stepwise model