Table 4 Adjusted analysis of the association between guideline adherence, 30-day readmission and length of stay
All patients | 30 day readmission | Length of stay | |||||
|---|---|---|---|---|---|---|---|
(N = 1670) | (N = 346) | (N = 1670) | P | (N = 1670) | (N = 1670) | P | |
n (%) | n (%) | OR (95%CI) | Mean (S.D) | Coeff. (95% C.I.) | |||
Adherence to guideline | |||||||
No | 623 (37.3) | 140 (22.5) | 1.00 | 7.3 (4.4) | |||
Yes | 1047 (62.7) | 206 (19.7) | 0.87 (0.67, 1.14) | 0.321 | 6.7 (4.1) | −0.47 (−1.02, 0.07) | 0.081 |
Indication for antibiotic treatment | |||||||
LRTI | 492 (29.5) | 100 (20.3) | 1.00 | 7.0 (4.3) | |||
COPD with LRTI | 341 (20.4) | 88 (25.8) | 1.17 (0.80, 1.73) | 0.421 | 6.6 (3.8) | −0.79 (−1.65, 0.08) | 0.069 |
Sepsis | 275 (16.5) | 46 (16.7) | 0.81 (0.54, 1.21) | 0.303 | 7.0 (3.9) | 0.22 (−0.73, 1.18) | 0.605 |
SSTI | 184 (11.0) | 29 (15.8) | 0.89 (0.62, 1.28) | 0.522 | 6.2 (4.1) | −0.17 (−1.44, 1.10) | 0.761 |
GI-infection | 75 (4.5) | 18 (24.0) | 1.26 (0.64, 2.51) | 0.503 | 7.3 (4.2) | 0.53 (− 0.75, 1.81) | 0.363 |
UTI | 176 (10.5) | 43 (24.4) | 1.30 (0.85, 2.01) | 0.229 | 7.1 (4.4) | 0.10 (−0.74, 0.95) | 0.781 |
Other infections | 127 (7.6) | 22 (17.3) | 0.78 (0.51, 1.18) | 0.240 | 7.5 (5.1) | 0.53 (−0.83, 1.89) | 0.386 |
Charlson Comorbidity Index | |||||||
CCI = 0 | 656 (39.3) | 97 (14.8) | 1.00 | 6.3 (3.9) | |||
CCI = 1 | 562 (33.7) | 117 (20.8) | 1.35 (1.03, 1.76) | 0.029 | 6.9 (4.0) | 0.60 (−0.32, 1.53) | 0.168 |
CCI = 2 | 241 (14.4) | 73 (30.3) | 2.26 (1.46, 3.52) | < 0.001 | 7.3 (4.2) | 0.87 (0.06, 1.68) | 0.039 |
CCI = 3 | 103 (6.2) | 27 (26.2) | 1.77 (1.12, 2.82) | 0.015 | 7.7 (5.0) | 1.30 (−0.79, 3.38) | 0.185 |
CCI = 4 | 49 (2.9) | 16 (32.7) | 2.55 (1.73, 3.76) | < 0.001 | 9.1 (5.4) | 2.64 (− 0.42, 5.70) | 0.081 |
CCI > 4 | 59 (3.5) | 16 (27.1) | 1.88 (0.89, 3.95) | 0.098 | 9.1 (5.2) | 2.42 (1.15, 3.69) | 0.003 |
Age | |||||||
< =45 | 250 (15.0) | 37 (14.8) | 1.00 | 5.7 (4.1) | |||
46–65 | 387 (23.2) | 75 (19.4) | 1.07 (0.71, 1.62) | 0.743 | 6.6 (4.0) | 0.74 (0.45, 1.03) | 0.001 |
66–85 | 779 (46.7) | 175 (22.5) | 1.15 (0.70, 1.90) | 0.576 | 7.3 (4.3) | 1.20 (0.58, 1.83) | 0.002 |
> 85 | 254 (15.2) | 59 (23.2) | 1.24 (0.62, 2.49) | 0.549 | 7.2 (4.3) | 1.00 (−0.19, 2.18) | 0.087 |
Sex | |||||||
Male | 856 (51.3) | 182 (21.3) | 1.00 | 6.9 (4.3) | |||
Female | 814 (48.7) | 164 (20.2) | 0.94 (0.81, 1.09) | 0.411 | 6.9 (4.1) | 0.02 (−0.64, 0.69) | 0.942 |
Admitted from institution | |||||||
No | 1441 (86.3) | 301 (20.9) | 1.00 | 6.8 (4.2) | |||
Yes | 229 (13.7) | 45 (19.7) | 0.85 (0.62, 1.16) | 0.307 | 7.2 (4.5) | 0.02 (−0.53, 0.57) | 0.938 |
Week of admissiona | 0.98 (0.96, 1.00) | 0.040 | −0.05 (− 0.09, − 0.002) | 0.044 | |||