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Table 5 Predictors of hospital LOS for adults who had a cochlear implant during 2011 to 2021, in New South Wales, Australia

From: Health service use, health outcomes and treatment costs of adults with a cochlear implant: a retrospective cohort study

Characteristics

18–64 years (n = 1461)

≥ 65 years (n = 1610)

 

Unadjusted RR (95% CI)

Adjusted RR (95% CI)

Unadjusted RR (95% CI)

Adjusted RR (95% CI)

Place of residence

    

 Urban

Ref

 

Ref

 

 Rural

1.38 (1.23, 1.55) **

-

1.15 (1.05, 1.27) *

-

Socio-economic index

    

 1 (most disadvantaged)

0.95 (0.81, 1.12)

 

1.20 (1.04, 1.38) *

 

 2

1.25 (1.08, 1.44) *

-

1.30 (1.15, 1.48) **

-

 3

1.25 (1.07, 1.45) *

-

1.17 (1.03, 1.34) *

-

 4

0.93 (0.78, 1.11)

-

1.10 (0.96. 1.26)

-

 5 (least disadvantaged)

Ref

-

Ref

-

Number of Charlson comorbidities

    

 None

Ref

-

Ref

 

 ≥ 1

1.53 (1.29, 1.82) **

-

1.06 (0.95, 1.20)

-

Mental health disorder diagnosis

    

 No

Ref

 

Ref

 

 Yes

2.62 (2.14, 3.20) **

-

2.14 (1.74, 2.64) **

-

Number of implants

    

 1

-

-

Ref

Ref

 ≥ 2

-

-

0.52 (0.36, 0.74) *

0.37 (0.21, 0.65) *

Number of implants removals

    

 None

Ref

Ref

Ref

 

 ≥ 1

2.97 (2.39, 3.69) **

2.25 (1.72, 2.95) **

1.61 (1.18, 2.20) *

-

Mechanical complications

    

 No

-

-

Ref

 

 Yes

-

-

1.82 (1.17, 2.83) *

-

Total treatment costs

2.26 (2.05, 2.48) **

2.20 (2.05, 2.36) **

2.24 (2.05, 2.44) **

2.62 (2.41, 2.84) **

All-cause NAP contacts

    

 1–6

Ref

   

 7–12

0.94 (0.79, 1.13)

-

-

-

 ≥ 13

1.22 (1.08, 1.38) *

-

-

-

Hospital type

    

 Public

Ref

   

 Private

0.78 (0.70, 0.86) **

-

-

-

Principal diagnosis

    

 Diseases of the ear and mastoid procedure

Ref

Ref

Ref

Ref

 Neoplasms

4.54 (3.59, 5.74) **

6.15 (4.96, 7.61) **

5.52 (4.54, 6.69) **

8.58 (6.94, 10.62) **

 Injury, poisoning and certain other consequences of external causes

0.90 (0.53, 1.54)

3.83 (2.03, 7.24) **

2.72 (1.94, 3.80) **

9.28 (6.29, 13.68) **

 Factors influencing health status and contact with health services

1.05 (0.61, 1.81)

3.46 (1.76, 6.80) **

0.75 (0.34, 1.69)

9.03 (3.49, 23.32) **

 Other diagnosesa

8.30 (6.62, 10.41) **

7.81 (6.26, 9.73) **

1.74 (1.25, 2.42) **

2.85 (1.60, 5.08) *

  1. aOther diagnoses include: Certain infectious and parasitic diseases, diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism, mental and behavioural disorders, diseases of the nervous system, diseases of the eye and adnexa, disease of the respiratory system, diseases of the digestive system, diseases of the musculoskeletal system and connective tissue, diseases of the genitourinary system, congenital malformations, deformations and chromosomal abnormalities and symptoms, signs, abnormal clinical and laboratory findings not elsewhere classified; RR: Rate ratios; NAP: Non-admitted patients; *P < 0.05; **P ≤ 0.001; Ref: Reference category