Skip to main content

Table 2 Associations of clinical and administrative factors with experiencing discharge delay

From: The effect of discharge destination and primary insurance provider on hospital discharge delays among patients with traumatic brain injury: a multicenter study of 1,543 patients

 

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)

 
  1. OR odds ratio; 95% CI 95% confidence interval; ISS Injury Severity Score; GCS Glasgow Coma Scale. Ref indicates the reference group in the logistic models. Bold indicates statistical significance at a threshold of P < 0.05