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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

 UnadjustedAdjusted
OR (95% CI)OR (95% CI)
Patient Demographics
 Age1.00 (0.99–1.01) 
Sex
 MaleRef 
 Female0.93 (0.69–1.25) 
Race
 WhiteRef 
 Black0.95 (0.58–1.57) 
 Hispanic0.59 (0.14–2.56) 
 Other0.73 (0.42–1.28) 
Clinical Characteristics
 ISS1.04 (1.02–1.06) 
 GCS0.90 (0.87–0.93)0.95 (0.91–0.99)
Comorbidities
 Substance abuse1.21 (0.84–1.76) 
 Advanced directive1.38 (0.66–2.87) 
 Bleeding disorder0.97 (0.60–1.55) 
 Cardiovascular1.09 (0.81–1.46) 
 Cirrhosis3.03 (1.22–7.52)3.93 (1.39–11.13)
 Respiratory1.30 (0.76–2.20) 
 Previous stroke1.28 (0.74–2.20) 
 Dementia1.32 (0.82–2.11) 
 Functionally dependent health status0.85 (0.46–1.58) 
 Diabetes1.08 (0.73–1.61) 
 Psychiatric2.64 (1.72–4.06)2.99 (1.80–4.96)
 Smoker0.87 (0.60–1.26) 
Mechanism of injury
 FallRef 
 Motor vehicle collision1.65 (1.17–2.32) 
 Assault0.80 (0.39–1.63) 
 Other0.86 (0.54–1.36) 
Discharge disposition
 Home/home healthRefRef
 Rehabilitation facility6.90 (4.61–10.31)8.12 (5.12–12.89)
 Skilled nursing facility7.09 (4.46–11.28)10.35 (6.06–17.96)
 Hospice1.25 (0.48–3.25)0.82 (0.23–2.91)
 Intermediate care facility6.56 (3.53–12.19)10.64 (5.27–21.46)
 Long-term acute care/nursing home6.89 (3.47–13.70)6.16 (2.77–13.70)
 Other1.66 (0.57–4.82)1.23 (0.41–3.72)
 Death2.70 (0.90–8.06)2.24 (0.68–7.31)
 Neurosurgical intervention prior to delay2.44 (1.61–3.70)1.84 (1.12–3.01)
Insurance
Primary insurance
 MedicareRefRef
 Commercial/private1.38 (0.97–1.96)2.22 (1.46–3.38)
 Uninsured/self-pay1.22 (0.76–1.98)2.98 (1.62–5.47)
 Medicaid1.56 (0.94–2.59)2.83 (1.52–5.25)
 Other1.18 (0.59–2.34)2.32 (1.01–5.30)
 Military0.53 (0.12–2.28)0.72 (0.14–3.51)
 Secondary insurance utilized1.64 (1.12–2.40) 
Secondary insurance
 MedicareRef 
 Commercial/private0.62 (0.23–1.71) 
 Self-pay1.06 (0.31–3.58) 
 Medicaid1.84 (0.65–5.19) 
 Other1.13 (0.30–4.22) 
 Military1.27 (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