Unadjusted | Adjusted | |
---|---|---|
OR (95% CI) | OR (95% CI) | |
Patient Demographics | ||
Age | 1.00 (0.99–1.01) | |
Sex | ||
Male | Ref | |
Female | 0.93 (0.69–1.25) | |
Race | ||
White | Ref | |
Black | 0.95 (0.58–1.57) | |
Hispanic | 0.59 (0.14–2.56) | |
Other | 0.73 (0.42–1.28) | |
Clinical Characteristics | ||
ISS | 1.04 (1.02–1.06) | |
GCS | 0.90 (0.87–0.93) | 0.95 (0.91–0.99) |
Comorbidities | ||
Substance abuse | 1.21 (0.84–1.76) | |
Advanced directive | 1.38 (0.66–2.87) | |
Bleeding disorder | 0.97 (0.60–1.55) | |
Cardiovascular | 1.09 (0.81–1.46) | |
Cirrhosis | 3.03 (1.22–7.52) | 3.93 (1.39–11.13) |
Respiratory | 1.30 (0.76–2.20) | |
Previous stroke | 1.28 (0.74–2.20) | |
Dementia | 1.32 (0.82–2.11) | |
Functionally dependent health status | 0.85 (0.46–1.58) | |
Diabetes | 1.08 (0.73–1.61) | |
Psychiatric | 2.64 (1.72–4.06) | 2.99 (1.80–4.96) |
Smoker | 0.87 (0.60–1.26) | |
Mechanism of injury | ||
Fall | Ref | |
Motor vehicle collision | 1.65 (1.17–2.32) | |
Assault | 0.80 (0.39–1.63) | |
Other | 0.86 (0.54–1.36) | |
Discharge disposition | ||
Home/home health | Ref | Ref |
Rehabilitation facility | 6.90 (4.61–10.31) | 8.12 (5.12–12.89) |
Skilled nursing facility | 7.09 (4.46–11.28) | 10.35 (6.06–17.96) |
Hospice | 1.25 (0.48–3.25) | 0.82 (0.23–2.91) |
Intermediate care facility | 6.56 (3.53–12.19) | 10.64 (5.27–21.46) |
Long-term acute care/nursing home | 6.89 (3.47–13.70) | 6.16 (2.77–13.70) |
Other | 1.66 (0.57–4.82) | 1.23 (0.41–3.72) |
Death | 2.70 (0.90–8.06) | 2.24 (0.68–7.31) |
Neurosurgical intervention prior to delay | 2.44 (1.61–3.70) | 1.84 (1.12–3.01) |
Insurance | ||
Primary insurance | ||
Medicare | Ref | Ref |
Commercial/private | 1.38 (0.97–1.96) | 2.22 (1.46–3.38) |
Uninsured/self-pay | 1.22 (0.76–1.98) | 2.98 (1.62–5.47) |
Medicaid | 1.56 (0.94–2.59) | 2.83 (1.52–5.25) |
Other | 1.18 (0.59–2.34) | 2.32 (1.01–5.30) |
Military | 0.53 (0.12–2.28) | 0.72 (0.14–3.51) |
Secondary insurance utilized | 1.64 (1.12–2.40) | |
Secondary insurance | ||
Medicare | Ref | |
Commercial/private | 0.62 (0.23–1.71) | |
Self-pay | 1.06 (0.31–3.58) | |
Medicaid | 1.84 (0.65–5.19) | |
Other | 1.13 (0.30–4.22) | |
Military | 1.27 (0.29–5.57) |