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Table 3 Effects of hospital volume (as a categorical variable) on outcomes in patients with severe acute pancreatitis ( n= 22,551)

From: The effect of hospital volume on patient outcomes in severe acute pancreatitis

Outcomes

Hospital volume

Crude OR or percent change (95% CI)

Adjusted OR or percent change (95% CI)

Model 1*

Model 2

Hospital LOS

    
 

Quartile 1

Ref.

Ref.

Ref.

 

Quartile 2

−2.52% (-12.78%, 8.94%)

−15.64% (-24.13%, -6.21%)

−12.95% (-21.22%, -3.82%)

 

Quartile 3

0.00% (-11.15%,12.56%)

−16.78% (-25.57%, -7.02%)

−14.95% (-23.46%, -5.50%)

 

Quartile 4

0.00% (-4.50%, 23.62%)

−16.36% (-25.05%, -6.05%)

−14.80% (-23.84%, -4.70%)

 

P for trend

0.909

0.005

0.007

 

R-squared

--

23.81%

30.36%

Hospital charges

    
 

Quartile 1

Ref.

Ref.

Ref.

 

Quartile 2

8.65% (-4.50%, 23.62%)

−9.99% (-18.65%, -0.41%)

−5.15% (-13.38%, 3.86%)

 

Quartile 3

7.39% (-7.63%, 24.85%)

−10.03% (-19.18%, 0.14%)

−5.60% (-14.28%, 3.96%)

 

Quartile 4

9.25% (-6.79%, 28.05%)

−11.42% (-20.90%, -0.80%)

−6.79% (-15.92%, 3.33%)

 

P for trend

0.398

0.053

0.205

 

R-squared

--

53.89%

64.16%

Hospital mortality

    
 

Quartile 1

Ref.

Ref.

Ref.

 

Quartile 2

0.98 (0.73, 1.31)

0.58 (0.42, 0.82)

0.75 (0.49, 1.15)

 

Quartile 3

1.09 (0.83, 1.45)

0.62 (0.45, 0.88)

0.83 (0.54, 1.26)

 

Quartile 4

1.02 (0.77, 1.35)

0.58 (0.40, 0.83)

0.75 (0.49, 1.16)

 

P for trend

0.720

0.012

0.281

 

c statistic

--

85.4%

93.0%

  1. OR: odds ratio; CI: confidence interval; LOS: length of stay.
  2. * Covariates in model 1 included age (as a continuous variable), sex, year of admission, Charlson-Comorbidity Index (categorized as 0,1,2 and ≥3), urbanization, hospital level, the ownership of hospital, the region of hospital, causes of acute pancreatitis (categorized into biliary, alcohol-related, both or others), intensive care unit admission, organ failure, gastrointestinal bleeding and local complication.
  3. Model 2 enrolled all covariates of model 1 and additional treatment covariates, including cholecystectomy, total parenteral nutrition, vasopressors, hemodialysis and mechanical ventilation.