TABLE E-1 Summary of Unadjusted and Adjusted Odds Ratios (OR) for all Remaining Coded Preexisting Comorbidities
Rate* by Transfer Status Unadjusted Adjusted**
Preexisting Comorbidity Factor
Yes: 21.20%
(N= 20,647)
No: 78.80%
(N = 76,746)
OR 99% CI OR 99% CI Significant Transfer Risk Factors for Unadjusted and Adjusted Ors (p < 0.01)Concurrent Existence of Metastasis 2.42 0.13 18.59 1.10-312.3 46.35 2.58-831.2
Hemophilia 10.66 1.96 5.45 2.30-12.93 3.87 1.57-9.52 Spinal Cord Injury 98.32 15.26 4.30 3.29-5.61 3.15 2.38-4.16
Hypertension 681.45 422.95 1.66 1.52-1.81 3.08 2.80-3.40
Obesity 60.06 22.54 2.68 1.98-3.63 2.95 2.13-4.08
Non-Insulin Dependent Diabetes Mellitus 221.34 132.65 1.69 1.45-1.96 2.75 2.35-3.23 Insulin Dependent Diabetes Mellitus 77.01 41.17 1.88 1.46-2.42 2.58 1.97-3.38 History of Cardiac Surgery 204.87 107.89 1.92 1.64-2.34 2.51 2.11-2.97
Asthma 98.32 44.95 2.20 1.74-2.77 2.28 1.78-2.91
Preexisting Anemia 83.79 66.45 1.26 1.01-1.59 2.01 1.57-2.56 Pregnancy 29.06 18.24 1.60 1.07-2.38 1.56 1.02-2.37 Significant Transfer Protective Factor when unadjusted and a Risk Factor when adjusted (p < 0.01)
Alzheimer Disease 41.17 70.62 0.58 0.43-0.79 1.37 1.01 -1.88 Significant Transfer Risk Factors only when adjusted (p < 0.01)
Rheumatoid Arthritis 27.61 20.33 1.36 0.91-2.03 2.45 1.60-3.74 Coronary Artery Disease 123.99 109.45 1.13 0.94-1.37 2.21 1.81-2.69 Congestive Heart Failure 101.71 99.68 1.02 0.83-1.25 2.13 1.72-2.65 Chronic Obstructive Pulmonary Disease 100.26 85.74 1.17 0.95-1.44 2.11 1.69-2.63 Myocardial Infarction 84.76 79.35 1.07 0.85 - 1.34 1.89 1.14-2.40 Significant Transfer Risk Factor only when unadjusted (p < 0.01)
Transplants 6.78 2.48 2.75 1.10-6.81 1.95 0.74-5.09
Non-Significant Factors
Undergoing Current Therapy 0.48 0.13 3.67 0.09-140.4 5.49 0.13-225.7 Serum Creatinine >2 on Admit 0.48 0.13 3.67 0.09-140.4 4.73 0.12-182.1 Chronic Pulmonary Condition 1.45 0.39 3.67 0.44-30.11 3.60 0.39-32.91 Gastroesophageal Varices 0.97 0.39 2.49 0.23-26.09 3.00 0.25-35.76 Chronic Dementia 1.94 1.69 1.15 0.26-5.01 2.31 0.49-10.70 Systemic Lupus Erythematosus 3.87 2.35 1.65 0.55-4.95 2.01 0.64-6.32 Multiple Sclerosis 6.30 3.78 1.67 0.70-3.95 1.87 0.75-4.64 Peptic Ulcer Disease 9.69 8.73 1.11 0.57-2.15 1.66 0.82-3.37
Dialysis (excludes transplant pts) 7.26 6.25 1.17 0.54-2.51 1.55 0.70-3.44 Cerebrovascular Accident/Hemiparesis
(Stroke with Residual)
12.11 14.59 0.83 0.46-1.47 1.52 0.83-2.76 Parkinson Disease 15.50 23.06 0.67 0.40-1.11 1.41 0.85-2.35
Acquired Coagulopathy 1.45 1.17 1.26 0.22-6.96 1.40 0.23-8.41 Cor Pulmonale 3.87 5.73 0.68 0.25-1.82 1.23 0.43-3.46
Seizures 22.76 19.15 1.19 0.77-1.84 1.11 0.70-1.75
Inflammatory Bowel Disease 2.42 3.00 0.81 0.22-2.89 1.10 0.28-4.28 Organic Brain Syndrome 1.45 2.61 0.56 0.11-2.76 0.77 0.14-4.22
Pancreatitis 2.42 2.74 0.89 0.24-3.20 0.68 0.18-2.57 Coumadin Therapy 0.00 1.69
* Rate reported as rate/10,000
** Adjusting variables were Age, Gender, Race, Insurance Status, Time of Day Transfer Received and ISS score (range 0-9)