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Table 4 Adjusted odds ratio for cases that could not be arranged by the NEMSR

From: Operation of national coordinating service for interhospital transfer from emergency departments: experience and implications from Korea

Characteristics

Model 1 (n = 4671)

Model 2 (n = 4589)

aOR

p-value (95% CI)

aOR

p-value (95% CI)

Sex

 Male

1

 

1

 

 Female

1.07

0.43 (0.89–1.28)

1.07

0.45 (0.89–1.28)

Age

 19–44 yr

1

 

1

 

 45–59 yr

1.30

0.06 (0.98–1.71)

1.35

0.03 (1.01–1.79)

 60–69 yr

1.24

0.15 (0.92–1.65)

1.24

0.16 (0.91–1.66)

 70–79 yr

1.27

0.09 (0.95–1.68)

1.29

0.08 (0.96–1.71)

  ≥ 80 yr

1.38

0.031 (1.02–1.83)

1.44

0.01 (1.06–1.93)

Caregiver in ED

 Absent

1

 

1

 

 Present

0.52

<.0001 (0.40–0.67)

0.50

<.0001 (0.38–0.64)

Requesting time

 9 am–6 pm

1

 

1

 

 6 pm–9 am

1.35

0.0001 (1.15–1.58)

1.33

0.0005 (1.13–1.55)

Consciousness

 Alert

1

 

1

 

 Not alert (CVPUa)

0.98

0.81 (0.83–1.15)

1.02

0.82 (0.85–1.21)

Systolic BP

 111–219

1

 

1

 

 101–110

0.92

0.48 (0.72–1.16)

0.87

0.27 (0.68–1.11)

 91–100

1.22

0.10 (0.96–1.54)

1.2

0.13 (0.94–1.52)

 0–90 or ≥ 220

1.16

0.16 (0.94–1.42)

1.17

0.13 (0.95–1.44)

Need for emergency surgery/procedure

 No

1

 

1

 

 Yes

1.22

0.01 (1.04–1.43)

1.28

0.004 (1.07–1.51)

Reason for transfer

 Shortage of general beds

  

1

 

 Shortage of ICU beds

  

0.74

0.31 (0.42–1.31)

 Shortage of isolation/psychiatric beds

  

1.87

0.07 (0.93–3.73)

 Shortage of medical staff

  

0.81

0.47 (0.45–1.43)

 Shortage of medical equipment/facility

  

0.55

0.10 (0.26–1.14)

 Need for special treatmentb

  

0.49

0.29 (0.12–1.86)

 Others

  

1.27

0.65 (0.44–3.60)

Region of sending hospital

 Metropolitan city

  

1

 

 Province

  

1.01

0.94 (0.82–1.22)

Service level I EDc

 No

  

1

 

 Yes

  

0.95

0.71 (0.74–1.21)

Total beds in sending hospital

  < 300

  

1

 

 300–599

  

1.45

0.0007 (1.17–1.79)

 600–799

  

1.37

0.01 (1.06–1.76)

 800–999

  

1.46

0.01 (1.10–1.96)

  ≥ 1000

  

2.04

<.0001 (1.48–2.82)

  1. aOR adjusted odds ratio, CI confidence interval
  2. aConfusion, Voice, Pain, and Unresponsive by the National Early Warning System (NEWS)
  3. bhyperbaric oxygen therapy, treatment for burns, surgery for finger amputation, etc.
  4. cdesignated by the Korean Ministry of Health and Welfare