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Table 3 Univariate and independent associations with pharmacologic prophylaxis administration in the intensive care unit

From: Compliance with American College of Chest Physicians (ACCP) recommendations for thromboembolic prophylaxis in the intensive care unit: a level I trauma center experience

 

Pharmacologic prophylaxis administered

Substantially delayed pharmacologic initiationa

Unadjusted

OR (95% CI)

Adjusted

OR (95% CI)

Unadjusted

OR (95% CI)

Adjusted

OR (95% CI)

ICU admitting service

 Non-trauma service

Ref

Ref

Ref

Ref

 Trauma service

1.50 (0.86–2.61)

2.88 (1.21–6.83)

7.96 (2.89–21.95)

8.30 (2.18–31.56)

Age

0.99 (0.97–1.00)

 

0.98 (0.96–1.00)

 

Sex

 Male

Ref

 

Ref

 

 Female

0.80 (0.43–1.47)

 

0.61 (0.24–1.58)

 

Race

 White

Ref

 

Ref

 

 Black

1.46 (0.80–2.66)

 

1.29 (0.55–3.04)

 

 Other/unknown

1.75 (0.47–6.46)

 

0.34 (0.04–3.14)

 

Hospital length of stay

1.05 (1.01–1.08)

 

1.04 (1.00–1.09)

1.15 (1.03–1.28)

ICU length of stay

1.10 (1.02–1.19)

1.13 (1.05–1.21)

1.06 (0.99–1.13)

 

Pre-admission anticoagulants

0.59 (0.27–1.31)

 

3.00 (0.89–10.07)

 

Comorbidities

 Hypertension

1.16 (0.66–2.05)

 

0.73 (0.31–1.70)

 

 Smoking

1.23 (0.58–2.60)

 

2.13 (0.70–6.46)

 

 Diabetes

0.92 (0.40–2.14)

 

0.80 (0.22–2.88)

 

 Liver disease

1.01 (0.31–3.25)

 

0.81 (0.14–4.68)

0.07 (0.01–0.92)

 Obesity

1.45 (0.44–4.72)

 

0.10 (0.01–2.13)

 

 History of VTE

0.33 (0.03–3.23)

 

0.53 (0.01–50.75)

 

 Kidney disease

0.14 (0.01–4.34)

 

 

 Cancer

0.20 (0.01–8.24)

 

 

Traumatic injury

1.19 (0.68–2.07)

 

7.44 (2.70–20.47)

 

Head injury

0.24 (0.12–0.48)

0.22 (0.08–0.59)

5.28 (1.52–18.36)

 
  1. Bold indicates statistically significant results at a threshold of P ≤ 0.05. aSubstantially delayed initiation of pharmacologic VTE prophylaxis was defined as initiation > 48 h after admission to the ICU. OR odds ratio, 95% CI 95% confidence interval, ICU intensive care unit, VTE venous thromboembolism