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Table 2 Determinants of CDI among pneumonia and UTI discharges, NIS 2009-2011

From: Impact of Clostridium difficile infection among pneumonia and urinary tract infection hospitalizations: an analysis of the Nationwide Inpatient Sample

 

Pneumonia

UTI

 

Men

Women

Men

Women

Patient characteristics

    

Age

    

18-34 years old (ref.)

    

35-49 years old

0.98 (0.74, 1.31)

0.84 (0.61, 1.14)

0.82 (0.49, 1.38)

1.49 (0.96, 2.33)

50-64 years old

1.27 (0.97, 1.65)

1.34 (1.00, 1.78)

0.84 (0.53, 1.33)

1.92 (1.19, 3.11)

65 years old or more

1.70 (1.28, 2.25)*

1.85 (1.40, 2.45)*

0.94 (0.61, 1.44)

2.41 (1.47, 3.95)*

Race/ethnicity

    

White (ref.)

    

Black

0.92 (0.79, 1.07)

1.02 (0.89, 1.16)

1.08 (0.87, 1.34)

1.01 (0.86, 1.18)

Hispanic

1.02 (0.86, 1.21)

0.84 (0.71, 1.00)

0.85 (0.63, 1.15)

0.88 (0.73, 1.08)

Asian/Pacific Islander

1.26 (0.97, 1.62)

0.91 (0.69, 1.20)

0.96 (0.55, 1.67)

0.88 (0.60, 1.28)

Native American

1.50 (0.86, 2.62)

0.84 (0.50, 1.43)

0.57 (0.14, 2.31)

0.66 (0.28, 1.56)

Other

1.14 (0.87, 1.50)

1.14 (0.87, 1.47)

1.24 (0.82, 1.87)

0.84 (0.58, 1.21)

Charlson-Deyo Index

    

0 (ref.)

    

1

0.98 (0.86, 1.13)

1.16 (1.02, 1.32)

0.88 (0.72, 1.09)

1.18 (1.03, 1.36)

2 or more

1.54 (1.36, 1.75)*

1.81 (1.59, 2.05)*

1.31 (1.10, 1.55)*

1.72 (1.53, 1.94)*

Neighborhood income

    

$1 - $38,999 (ref.)

    

$39,000 - $47,999

1.08 (0.96, 1.23)

1.07 (0.95, 1.21)

1.09 (0.86, 1.37)

0.89 (0.77, 1.03)

$48,000 - 62,999

1.12 (0.98, 1.27)

1.10 (0.97, 1.25)

1.29 (1.04, 1.59)

1.17 (1.01, 1.36)

$63,000 or more

1.30 (1.13, 1.49)*

1.23 (1.07, 1.43)

1.52 (1.21, 1.90)*

1.17 (0.98, 1.39)

Payer type

    

Private including HMO (ref.)

    

Medicare

1.32 (1.15, 1.51)*

1.26 (1.09, 1.45)*

1.21 (0.95, 1.55)

0.90 (0.74, 1.10)

Medicaid

1.38 (1.14, 1.68)*

1.19 (0.98, 1.45)

1.04 (0.72, 1.50)

1.00 (0.78, 1.28)

Self-pay

0.69 (0.49, 0.96)

0.87 (0.61, 1.23)

0.25 (0.08, 0.78)

0.53 (0.30, 0.94)

No Charge

1.28 (0.66, 2.50)

0.54 (0.17, 1.72)

0.74 (0.13, 4.42)

0.38 (0.05, 2.75)

Other

1.10 (0.81, 1.49)

1.08 (0.70, 1.67)

0.86 (0.44, 1.67)

0.51 (0.26, 1.03)

Hospital characteristics

    

Bed size

    

Small (ref.)

    

Medium

0.92 (0.78, 1.09)

1.03 (0.88, 1.20)

1.02 (0.80, 1.30)

0.88 (0.74, 1.04)

Large

1.09 (0.94, 1.27)

1.17 (1.01, 1.35)

1.19 (0.96, 1.48)

0.97 (0.83, 1.14)

Hospital control

    

Private investor-own (ref.)

    

Private non-profit

0.79 (0.68, 0.92)

0.86 (0.74, 1.00)

1.01 (0.79, 1.28)

1.15 (0.96, 1.37)

Government nonfederal

0.68 (0.55, 0.84)*

0.76 (0.63, 0.93)

0.88 (0.63, 1.23)

1.06 (0.84, 1.35)

Setting

    

Rural (ref.)

    

Urban non-teaching

1.63 (1.36, 1.96)*

1.66 (1.40, 1.98)*

1.63 (1.20, 2.20)

1.42 (1.16, 1.73)*

Urban teaching

2.05 (1.71, 2.47)*

1.92 (1.60, 2.30)*

1.92 (1.42, 2.61)*

1.74 (1.42, 2.14)*

Region

    

Northeast (ref.)

    

Midwest

0.94 (0.79, 1.11)

0.87 (0.73, 1.04)

0.99 (0.79, 1.23)

1.04 (0.86, 1.25)

South

0.79 (0.68, 0.91)

0.78 (0.66, 0.92)

0.82 (0.66, 1.01)

0.81 (0.68, 0.96)

West

0.83 (0.70, 0.97)

0.82 (0.69, 0.98)

0.78 (0.61, 1.01)

0.87 (0.72, 1.05)

Year

    

2009 (ref.)

    

2010

1.10 (0.97, 1.24)

0.96 (0.85, 1.08)

1.11 (0.93, 1.32)

1.03 (0.90, 1.19)

2011

1.06 (0.94, 1.20)

0.95 (0.84, 1.06)

1.06 (0.89, 1.26)

1.01 (0.88, 1.16)

  1. CDI = Clostridium difficile infection, UTI = Urinary tract infection
  2. *Bonferroni adjusted P < 0.0017