| Australian Injury Comorbidity Indices | Existing comorbidity indices | |||||||
Overnight stay | LOS | CCI | Updated CCI per Quan et al. (2011) | ECM point scores per van Walraven et al. (2009) | |||||
OR (95% CI) | Injury comorbidity index weight | IRR (95% CI) | Injury comorbidity index weight | ||||||
15–24 years | 0.43 (0.41–0.45) |  | 0.41 (0.40–0.42) |  |  |  |  | ||
25–44 years | 0.48 (0.46–0.50) |  | 0.45 (0.45–0.46) |  |  |  |  | ||
45–64 years | 0.63 (0.60–0.66) |  | 0.57 (0.56–0.58) |  |  |  |  | ||
65–84 years | Reference group |  | Reference group |  |  |  |  | ||
85+ years | 1.16 (1.09–1.22) |  | 1.26 (1.24–1.29) |  |  |  |  | ||
Female sex | 1.11 (1.08–1.14) |  | 1.12 (1.11–1.13) |  |  |  |  | ||
Serious injury | 4.92 (4.56–5.32) |  | 1.83 (1.80–1.86) |  |  |  |  | ||
HIV/AIDS | – | – | – | – | 6 | 4 | 0 | ||
Alcohol dependence | 1.38 (1.29–1.48) | 1 | 1.17 (1.14–1.20)* | – | # | # | 0 | ||
Drug dependence | 2.34 (2.01–2.72) | 2 | 1.56 (1.49–1.64) | 2 | # | # | -7 | ||
Any malignancy | 7.39 (4.52–12.08) | 7 | 1.56 (1.40–1.73) | 2 | 2 | 2 | 4 | ||
Blood loss anemia | 5.98 (1.84–19.37) | 6 | 1.40 (1.20–1.63) | 1 | # | # | −2 | ||
Cardiac arrhythmias | 2.45 (2.15–2.80) | 2 | 1.32 (1.28–1.36) | 1 | # | # | 5 | ||
Cerebrovascular disease | – | – | 1.18 (1.08–1.29)* | – | 1 | 0 | ## | ||
Chronic pulmonary disease | 6.29 (4.26–9.30) | 6 | 1.46 (1.38–1.54) | 1 | 1 | 1 | 3 | ||
Coagulopathy | 3.74 (2.80–4.99) | 4 | 1.43 (1.35–1.51) | 1 | # | # | 3 | ||
Congestive heart failure | 7.06 (4.27–11.67) | 7 | 1.27 (1.20–1.34) | 1 | 1 | 2 | 7 | ||
Deficiency anemias | 8.70 (4.73–16.00) | 9 | 1.62 (1.50–1.76) | 2 | # | # | −2 | ||
Dementia | 2.00 (1.70–2.34) | 2 | – | – | 1 | 2 | ## | ||
Depression | 3.25 (2.89–3.65) | 3 | 1.93 (1.86–2.01) | 2 | # | # | −3 | ||
Diabetes with chronic complications | 1.42 (1.26–1.60) | 1 | 1.27 (1.23–1.31) | 1 | 2 | 1 | 0 | ||
Diabetes without complications | 1.20 (1.13–1.28) | 1 | 1.12 (1.09–1.14) | – | 1 | 0 | 0 | ||
Hemiplegia/paraplegia | 5.03 (3.12–8.10) | 5 | 1.62 (1.47–1.78) | 2 | 2 | 2 | 7 | ||
Hypertension complicated | – | – | – | – | # | # | 0 | ||
Hypertension uncomplicated | 2.49 (2.15–2.88) | 2 | 1.25 (1.21–1.29) | 1 | # | # | 0 | ||
Hypothyroidism | 21.25 (2.92–154.54) | 21 | 1.72 (1.49–2.00) | 2 | # | # | 0 | ||
Metastatic solid tumor | – | – | 1.32 (1.15–1.51) | 1 | 6 | 6 | 12 | ||
Mild liver disease | 1.63 (1.38–1.93) | 2 | 1.27 (1.20–1.34) | 1 | 1 | 2 | 11 | ||
Moderate or severe liver disease | 20.78 (2.85–151.33) | 21 | 1.83 (1.53–2.19) | 2 | 3 | 4 | 11 | ||
Myocardial infarction | – | – | – | – | 1 | 0 | ## | ||
Obesity | 4.41 (2.27–8.56) | 4 | 2.10 (1.85–2.39) | 2 | # | # | −4 | ||
Peptic ulcer disease | – | – | 1.55 (1.25–1.91) | 2 | 1 | 0 | 0 | ||
Peripheral vascular disease | 3.11 (2.35–4.13) | 3 | 1.88 (1.76–2.02) | 2 | 1 | 0 | 2 | ||
Psychoses | 5.54 (3.96–7.74) | 6 | 3.14 (2.91–3.40) | 3 | # | # | 0 | ||
Pulmonary circulation disorders | – | – | 1.81 (1.52–2.15) | 2 | # | # | 4 | ||
Renal disease including renal failure | 1.58 (1.32–1.89) | 2 | 1.17 (1.12–1.21)* | – | 2 | 1 | 5 | ||
Rheumatic disease including some other connective tissue disorders | 33.10 (4.59–238.47) | 33 | 1.93 (1.67–2.24) | 2 | 1 | 1 | 0 | ||
Valvular disease | 5.28 (2.30–12.13) | 5 | 1.36 (1.22–1.52) | 1 | # | # | −1 | ||
 | Australian Injury Comorbidity Indices | Existing comorbidity indices | |||||||
Hospital cost | All-cause 30-day readmission | Non-planned 30-day readmission | CCI | Updated CCI per Quan et al. (2011) | ECM point scores per van Walraven et al. (2009) | ||||
Beta coefficient (95% CI) | Injury comorbidity index weight1 | OR (95% CI) | Injury comorbidity index weight | OR (95% CI) | Injury comorbidity index weight | ||||
15–24 years | −0.25 (−0.28--0.23) |  | 0.47 (0.44–0.50) |  | 0.51 (0.47–0.55) |  |  |  |  |
25–44 years | − 0.21 (− 0.23--0.19) |  | 0.58 (0.55–0.61) |  | 0.64 (0.60–0.68) |  |  |  |  |
45–64 years | −0.16 (− 0.18--0.14) |  | 0.70 (0.67–0.74) |  | 0.69 (0.65–0.73) |  |  |  |  |
65–84 years | Reference group |  | Reference group |  | Reference group |  |  |  |  |
85+ years | 0.02 (0.00–0.04) |  | 1.01 (0.96–1.06) |  | 1.18 (1.12–1.26) |  |  |  |  |
Female sex | −0.03 (−0.04--0.01) |  | 0.97 (0.94–1.01) |  | 0.95 (0.91–0.99) |  |  |  |  |
serious injury | 0.89 (0.86–0.91) |  | – |  | 1.07 (1.00–1.14) |  |  |  |  |
HIV/AIDS | – | – | – | – | – | – | 6 | 4 | 0 |
Alcohol dependence | 0.20 (0.17–0.23) | 1 | 1.23 (1.14–1.33) | 1 | 1.35 (1.24–1.47) | 1 | # | # | 0 |
Drug dependence | 0.47 (0.41–0.52) | 2 | – | – | 1.46 (1.23–1.72) | 1 | # | # | −7 |
Any malignancy | 0.74 (0.65–0.83) | 2 | 4.10 (3.45–4.86) | 4 | – | – | 2 | 2 | 4 |
Blood loss anemia | 0.61 (0.45–0.78) | 2 | – | – | – | – | # | # | −2 |
Cardiac arrhythmias | 0.48 (0.44–0.52) | 2 | – | – | – | – | # | # | 5 |
Cerebrovascular disease | – | – | – | – | – | – | 1 | 0 | ## |
Chronic pulmonary disease | 0.57 (0.51–0.64) | 2 | 1.45 (1.26–1.67) | 1 | 1.63 (1.40–1.90) | 2 | 1 | 1 | 3 |
Coagulopathy | 0.49 (0.43–0.56) | 2 | 1.48 (1.27–1.72) | 1 | 1.60 (1.36–1.88) | 2 | # | # | 3 |
Congestive heart failure | 0.38 (0.31–0.45) | 1 | – | – | 1.40 (1.19–1.65) | 1 | 1 | 2 | 7 |
Deficiency anemias | 0.66 (0.56–0.75) | 2 | – | – | – | – | # | # | −2 |
Dementia | 0.16 (0.11–0.20)* | – | – | – | – | – | 1 | 2 | ## |
Depression | 0.63 (0.59–0.67) | 2 | 1.38 (1.24–1.53) | 1 | – | – | # | # | −3 |
Diabetes with chronic complications | 0.26 (0.22–0.30) | 1 | 1.26 (1.15–1.38) | 1 | 1.33 (1.20–1.47) | 1 | 2 | 1 | 0 |
Diabetes without complications | 0.10 (0.07–0.12)* | – | 1.18 (1.11–1.26)* | – | 1.22 (1.14–1.31) | 1 | 1 | 0 | 0 |
Hemiplegia/paraplegia | 0.70 (0.60–0.79) | 2 | – | – | – | – | 2 | 2 | 7 |
Hypertension complicated | 0.48 (0.20–0.76) | 2 | – | – | – | – | # | # | 0 |
Hypertension uncomplicated | 0.42 (0.38–0.46) | 2 | – | – | – | – | # | # | 0 |
Hypothyroidism | 0.56 (0.39–0.74) | 2 | – | – | – | – | # | # | 0 |
Metastatic solid tumor | – | – | – | – | 2.42 (1.83–3.21) | 2 | 6 | 6 | 12 |
Mild liver disease | 0.32 (0.25–0.38) | 1 | 1.74 (1.50–2.03) | 2 | 1.89 (1.60–2.24) | 2 | 1 | 2 | 11 |
Moderate or severe liver disease | 0.81 (0.60–1.01) | 2 | – | – | – | – | 3 | 4 | 11 |
Myocardial infarction | 0.24 (0.10–0.38) | 1 | – | – | – | – | 1 | 0 | ## |
Obesity | 0.80 (0.65–0.95) | 2 | – | – | – | – | # | # | −4 |
Peptic ulcer disease | 0.65 (0.40–0.91) | 2 | – | – | – | – | 1 | 0 | 0 |
Peripheral vascular disease | 0.75 (0.66–0.83) | 2 | – | – | – | – | 1 | 0 | 2 |
Psychoses | 1.04 (0.95–1.13) | 3 | 1.69 (1.36–2.08) | 2 | 1.57 (1.23–2.00) | 2 | # | # | 0 |
Pulmonary circulation disorders | 0.79 (0.58–0.99) | 2 | – | – | – | – | # | # | 4 |
Renal disease including renal failure | 0.19 (0.14–0.24) | 1 | 2.02 (1.83–2.21) | 2 | 1.67 (1.50–1.86) | 2 | 2 | 1 | 5 |
Rheumatic disease including some other connective tissue disorders | 0.83 (0.66–1.01) | 2 | – | – | – | – | 1 | 1 | 0 |
Valvular disease | 0.41 (0.28–0.55) | 2 | – | – | – | – | # | # | −1 |