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Table 3 Associations of various confounders with utilisation of ED diagnostic resources

From: A dangerously underrated entity? Non-specific complaints at emergency department presentation are associated with utilisation of less diagnostic resources

 

GMR

95% CI

p

Sociodemographic characteristics

 Age, per year

1.01

(1.01–1.01)

< 0.001

 Sex, male

1.04

(0.98–1.11)

0.205

 Swiss nationality

1.14

(1.07–1.23)

< 0.001

 Private insurance

1.17

(1.07–1.28)

0.001

Transport by EMS

1.34

(1.25–1.43)

< 0.001

Time and day of admission to ED

 Saturday or Sunday admission

0.97

(0.91–1.04)

0.395

 Night-time admissions

0.78

(0.74–0.83)

< 0.001

 Effective weekendsa

0.93

(0.87–0.99)

0.023

 Effective days offb

0.98

(0.92–1.05)

0.580

Comorbidity

 COPD

1.17

(1.02–1.34)

0.026

 Diabetes

1.14

(1.04–1.25)

0.006

 Liver disease

1.16

(1.03–1.31)

0.015

 Dementia

1.51

(1.22–1.87)

< 0.001

 Past myocardial infarction

1.18

(1.07–1.29)

< 0.001

 Malignancy

1.33

(1.22–1.44)

< 0.001

 Peripheral artery disease

1.18

(0.99–1.42)

0.068

 Chronic kidney disease

1.21

(1.03–1.41)

0.021

 Cerebrovascular disease

1.38

(1.23–1.55)

< 0.001

Drug intake

 On any antidiabetic

1.18

(1.06–1.32)

0.003

 On any antithrombotic

1.35

(1.27–1.45)

< 0.001

 On any antihypertensive

1.31

(1.22–1.4)

< 0.001

 On any diuretic

1.33

(1.22–1.46)

< 0.001

 On any antiepileptic

1.04

(0.93–1.17)

0.497

 On any psycholeptic

1.15

(1.02–1.29)

0.025

Consultation characteristic

 Triage

  Urgent

1

(base)

 

  Highly-urgent

1.31

(1. 22–1.39)

< 0.001

Outcomes

 Hospitalisation

1.58

(1.48–1.67)

< 0.001

 30 d revisits

0.97

(0.88–1.06)

0.474

 365 d revisits

1.01

(0.95–1.08)

0.752

 LOS hospital days

1.02

(1.01–1.02)

< 0.001

 LOS ED hours

1.1

(1.09–1.11)

< 0.001

 ICU admission

1.55

(1.39–1.74)

< 0.001

 In-hospital death

1.46

(1.15–1.85)

0.002

  1. Abbreviations: CI confidence interval, COPD chronic obstructive pulmonary disease, ED emergency department, EMS emergency medical services, GMR geometric mean ratio, ICU intensive care unit, LOS length of stay
  2. aEffective weekends: admission to ED 7 pm Friday to 7 am Monday
  3. bEffective days off: effective weekends and all public holidays