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Table 4 Risk adjusted odds ratios, incident rate ratios, beta-coefficients and suggested weights

From: Australian Injury Comorbidity Indices (AICIs) to predict burden and readmission among hospital-admitted injury patients

 

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

  1. Note:
  2. - Condition not significantly associated with outcome
  3. # Not included in CCI list
  4. ## Not included in ECM list
  5. *Excluded from weighted index as OR < 1.2
  6. 1. Weight = exp. (beta)