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Table 4 Factors associated with persistence as a HU into a subsequent year

From: Characterization of high healthcare utilizer groups using administrative data from an electronic medical record database

 

Odds ratio (99% confidence interval)

Model 0

Model 1c

Model 2c

Non-HU

1.00

1.00

1.00

Cost

2.73 (2.45–3.03)

1.85 (1.64–2.07)

1.77 (1.57–1.98)

LOS

5.67 (2.92–9.97)

3.60 (1.83–6.44)

3.36 (1.71–6.02)

SOC

8.20 (7.75–8.68)

6.71 (6.31–7.12)

7.40 (6.95–7.87)

LOS-SOC

16.72 (6.26–38.93)

17.28 (6.39–40.94)

14.04 (5.07–34.39)

Cost-LOS

7.41 (6.55–8.35)

4.07 (3.51–4.71)

3.97 (3.42–4.61)

Cost-SOC

16.30 (15.31–17.35)

9.83 (9.08–10.63)

9.43 (8.68–10.25)

Cost-LOS-SOC

31.59 (29.02–34.37)

17.61 (15.50–20.01)

16.82 (14.78–19.15)

Age at first visit

 

1.01 (1.01–1.02)

1.01 (1.01–1.01)

CCMIb

 

1.27 (1.25–1.29)

1.24 (1.22–1.26)

PPSa

 

0.99 (0.99–0.99)

0.99 (0.99–1.00)

Gender

 Female

 

1.00

1.00

 Male

 

0.71 (0.68–0.75)

0.72 (0.69–0.75)

Race

 Chinese

 

1.00

1.00

 Indian

 

1.23 (1.14–1.33)

1.26 (1.17–1.36)

 Malay

 

1.02 (0.95–1.09)

1.05 (0.97–1.12)

 Others

 

0.93 (0.86–1.01)

0.93 (0.86–1.00)

Nationality

 Foreigner

 

1.00

1.00

 Singaporean

 

2.35 (2.21–2.51)

2.27 (2.12–2.42)

Treatment type

 Subsidised only

 

1.00

1.00

 Both subsidised and unsubsidised

 

1.42 (1.34–1.51)

1.46 (1.37–1.55)

 Unsubsidised only

 

1.89 (1.78–2.01)

1.85 (1.74–1.97)

Common HU conditions

 Other puerperium complications of birth

  

0.35 (0.26–0.47)

 Normal pregnancy and delivery

  

0.41 (0.34–0.49)

 Open wounds of extremities

  

0.48 (0.38–0.59)

 Fracture of upper limb

  

0.48 (0.39–0.58)

 Burns

  

0.51 (0.28–0.84)

 Fracture of lower limb

  

0.66 (0.54–0.80)

 Other eye disorders

  

0.70 (0.56–0.87)

 Cataract

  

0.70 (0.59–0.82)

 Superficial injury contusion

  

0.70 (0.61–0.79)

 Cancer of breast

  

1.28 (1.09–1.51)

 Mood disorders

  

1.45 (1.11–1.85)

 Essential hypertension

  

1.53 (1.36–1.71)

 Female infertility

  

1.72 (1.39–2.12)

Model comparison indices

 McFadden’s R2

0.16

0.20

0.21

 Residual deviance

111,630

106,351

105,539

 Residual degrees of freedom

379,427

379,417

379,404

 Likelihood ratio test (χ2)

–

< 0.001

< 0.001

  1. aPPS Polypharmacy score, bCCMI Charlson Comorbidity Index score, cModel 1: Adjusted for socio-demographics and multi-morbidity; Model 2: Adjusted for socio-demographics, multi-morbidity and common HU conditions