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Table 4 Multivariate logistic regression models for predictors of high-acuity outcomes among 10–17-year-old adolescents utilizing pediatric emergency services in Taiwan, by sex

From: Predictors of high-acuity outcomes among 10–17-year-olds utilizing pediatric emergency services in Taiwan: a sex-based comparison of male and female adolescents

Variable

All

Male

Female

AOR (95% CI)

AOR (95% CI)

AOR (95% CI)

Sex

 Female

Ref

  

 Male

0.90 (0.82–0.98)

  

Age Group (years)

 10–12

Ref

Ref

Ref

 13–15

1.04 (0.94–1.15)

1.01 (0.88–1.15)

1.10 (0.93–1.30)

 16–17

1.23 (1.10–1.37)

1.26 (1.09–1.46)

1.18 (0.99–1.42)

Triage Level

 Level 1

2.27 (1.71–3.00)

2.51 (1.70–3.71)

1.94 (1.21–3.10)

 Level 2

1.98 (1.45–2.71)

2.15 (1.47–3.15)

1.84 (1.20–2.83)

 Level 3

1.24 (0.93–1.66)

1.36 (0.94–1.96)

1.10 (0.73–1.66)

 Level 4

Ref

Ref

Ref

 Level 5

0.75 (0.41–1.35)

0.82 (0.36–1.85)

0.68 (0.26–1.76)

Time of the ED Visit

 08:00–15:59

0.90 (0.77–1.06)

0.92 (0.74–1.15)

0.88 (0.68–1.14)

 16:00–23:59

0.93 (0.79–1.10)

0.96 (0.77–1.19)

0.89 (0.68–1.16)

 00:00–07:59

Ref

Ref

Ref

Number of Abnormal Vital Signs

 0

Ref

Ref

Ref

 1

1.21 (0.89–1.64)

1.29 (0.84–1.97)

1.14 (0.72–1.81)

 2

1.59 (1.08–2.34)

1.67 (1.03–2.73)

1.51 (0.84–2.71)

 ≥3

1.91 (1.27–2.87)

2.12 (1.27–3.52)

1.74 (0.95–3.19)

Glasgow Coma Scale

 15

Ref

Ref

Ref

 13–14

0.49 (0.26–0.94)

0.52 (0.21–1.27)

0.44 (0.18–1.10)

 9–12

1.15 (0.40–3.30)

1.29 (0.31–5.33)

0.94 (0.16–5.64)

 3–8

3.41 (0.77–15.15)

4.89 (0.68—35.32)

2.56 (0.33–19.66)

Variable

All

Male

Female

AOR (95% CI)

Outcome-specific OR (95% CI)

AOR (95% CI)

AOR (95% CI)

Chief Complaints

Endocrine, nutritional, and metabolic diseases, and immunity disorders

2.10 (1.52–2.91)

(1) 227.63 (110.14–470.43)

(2) 4.04 (1.90–8.58)

2.27 (1.46–3.55)

1.97 (1.31–2.98)

Diseases of the nervous system

1.34 (1.08–1.68)

(1) 2.64 (1.05–6.62)

(2) 1.54 (1.21–1.96)

(4) 1.35 (1.05–1.73)

1.43 (1.05–1.93)

1.30 (0.97–1.74)

Eye diseases

--

--

1.47 (1.01–2.17)

--

Ear diseases

1.50 (1.02–2.21)

(1) 3.73 (1.25–11.10)

(2) 1.53 (1.10–2.13)

1.62 (1.01–2.58)

1.44 (0.86–2.41)

Diseases of the circulatory system

1.56 (1.14–2.15)

(1) 2.65 (1.03–6.85)

(2) 1.46 (1.06–2.00)

1.67 (1.13–2.47)

1.50 (0.99–2.28)

Diseases of the genitourinary system

1.29 (1.01–1.66)

--

1.35 (1.01–1.82)

1.25 (0.89–1.74)

Diseases of the skin and subcutaneous tissue

1.95 (1.02–3.73)

(1) 5.44 (1.16–25.62)

(2) 2.05 (1.07–3.93)

2.08 (1.02–4.24)

1.78 (0.75–4.27)

Diseases of the musculoskeletal system and connective tissue

1.32 (1.01–1.73)

(2) 1.35 (1.02–1.78)

1.45 (1.01–2.08)

--

Fever

1.28 (1.01–1.62)

--

1.30 (0.93–1.81)

1.33 (0.93–1.89)

Headache

0.74 (0.58–0.95)

(2) 0.69 (0.52–0.91)

--

0.72 (0.54–0.96)

Poisoning

1.38 (1.06–1.81)

(2) 1.42 (1.07–1.89)

1.48 (1.04–2.10)

1.36 (0.94–1.96)

Akaike Information Criterion (AIC) Value

10,961.46

 

6,091.34

4,855.94

  1. Note. The four high-acuity outcomes include: (1) intensive care unit (ICU) admission or in-ED death; (2) inpatient ward admission; (3) return to the ED within 72 h for the same presenting complaint; and (4) ED length of stay exceeding 6 h. The dichotomous outcome variable in these logistic regression models indicates the occurrence of any high-acuity outcome, with patients discharged without a high-acuity event serving as the reference group. “--“ indicates that the variable is not included in the AIC-based final model
  2. AOR: adjusted odds ratio; CI: confidence interval; OR: unadjusted univariate odds ratio corresponding to a specific high-acuity outcome, as denoted by (1), (2), (3), or (4); Ref: reference