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Table 4 Predictors of discharge to home (reference, non-home discharge) among patients who had a hospital admission after presenting to the Emergency Department (ED) with gout using logistic regression

From: Gout-related inpatient utilization: a study of predictors of outcomes and time trends

 

Univariate

Multivariable-adjusted

 

Odds ratio (95 % CI)

P value

Odds ratio (95 % CI)

P value

Age

 <50

Ref

   

 50 to <65

0.53 (0.38, 0.73)

0.0001

0.69 (0.47, 1.01)

0.0573

 65 to <80

0.15 (0.11, 0.20)

<0.0001

0.25 (0.16, 0.37)

<0.0001

 ≥80

0.08 (0.06, 0.11)

<0.0001

0.13 (0.09, 0.20)

<0.0001

Gender

 Female

Ref

 

Ref

 

 Male

1.81 (1.55, 2.12)

<0.0001

1.16 (0.97, 1.39)

0.1128

Median household income

 1st quartile (<$38,999)

Ref

 

Ref

 

 2nd quartile ($39,000 to $47,999)

1.05 (0.85, 1.31)

0.6413

1.12 (0.87, 1.44)

0.3930

 3rd quartile ($48,000 to $62,999)

0.89 (0.70, 1.12)

0.2998

1.02 (0.77, 1.36)

0.8844

 4th quartile ($63,000 or more)

0.81 (0.64, 1.01)

0.0618

1.09 (0.84, 1.42)

0.5083

Primary payer

 Medicare

Ref

 

Ref

 

 Medicaid

3.82 (2.92, 5.00)

<0.0001

1.49 (1.00, 2.24)

0.0527

 Private insurance

3.28 (2.62, 4.11)

<0.0001

1.29 (1.00, 1.67)

0.0523

 Self-pay/no charge

11.42 (7.30, 17.85)

<0.0001

2.77 (1.54, 4.96)

0.0006

 Other

4.59 (2.50, 8.42)

<0.0001

1.49 (0.79, 2.81)

0.2218

Patient location (residence)

 Micropolitan/not metro

Ref

 

Ref

 

 Metropolitan (large or small)

0.84 (0.67, 1.07)

0.1589

0.72 (0.54, 0.97)

0.0282

Hospital region

 Northeast

Ref

 

Ref

 

 Midwest

1.17 (0.89, 1.54)

0.2682

0.98 (0.73, 1.31)

0.8700

 South

1.28 (1.00, 1.62)

0.0477

1.20 (0.90, 1.59)

0.2138

 West

1.58 (1.17, 2.13)

0.0028

1.24 (0.91, 1.69)

0.1821

Teaching status of hospital

 Metropolitan non-teaching or non-metro

Ref

 

Ref

 

 Metropolitan teaching

1.04 (0.86, 1.24)

0.7066

1.09 (0.89, 1.34)

0.3909

Comorbidities

 Coronary heart disease (ref: no)

0.58 (0.48, 0.69)

<0.0001

0.94 (0.75, 1.16)

0.5433

 Hyperlipidemia (ref: no)

0.89 (0.78, 1.03)

0.1152

1.18 (0.99, 1.39)

0.0604

 Renal failure (ref: no)

0.61 (0.52, 0.73)

<0.0001

0.87 (0.71, 1.06)

0.1528

 Heart failure (ref: no)

0.52 (0.44, 0.61)

<0.0001

0.88 (0.72, 1.07)

0.2002

 Hypertension (ref: no)

0.77 (0.64, 0.93)

0.0050

1.09 (0.86, 1.39)

0.4554

 Diabetes (ref: no)

0.68 (0.58, 0.78)

<0.0001

0.78 (0.64, 0.95)

0.0121

 COPD (ref: no)

0.58 (0.46, 0.72)

<0.0001

0.79 (0.60, 1.04)

0.0871

 Osteoarthritis (ref: no)

0.60 (0.49, 0.74)

<0.0001

0.85 (0.68, 1.06)

0.1414

Length of stay, in days (per day increase)

0.79 (0.76, 0.83)

<0.0001

0.80 (0.76, 0.83)

<0.0001

  1. Significant odds ratios are in bold
  2. CI confidence interval, Ref reference category, COPD chronic obstructive pulmonary disease