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Table 4 Association between sociodemographic characteristics of children and risk of paediatric nursing-sensitive outcomes

From: Evaluation of paediatric nursing-sensitive outcomes in an Australian population using linked administrative hospital data

  LRTI Pneumonia GI infect Sepsis Arrest/shock/resp failure CNS complication CVL infect
No. of events 395 337 342 136 94 92 58
No. in risk pool 42732 102877 24415 41807 106369 87926 74041
  Rate ratio (95% CI) Rate ratio (95% CI) Rate ratio (95% CI) Rate ratio (95% CI) Rate ratio (95% CI) Rate ratio (95% CI) Rate ratio (95% CI)
Age        
 1-28 days (neonate) 1.52 0.46 0.67 0.26 1.11 ___a 1.02
(0.84, 2.75) (0.21, 1.00) (0.29, 1.58) (0.08, 0.90) (0.37, 3.36)   (0.35, 3.00)
 29-365 days (infant) 7.74 3.51 6.56 1.95 2.36 0.29 0.57
(5.11, 11.75) (2.34, 5.25) (4.17, 10.32) (1.07, 3.57) (1.03, 5.37) (0.09, 0.93) (0.20, 1.64)
 > 1–3 years (toddler) 7.40 4.19 9.89 3.62 5.48 0.31 1.95
(4.79, 11.45) (2.78, 6.30) (6.24, 15.69) (1.97, 6.64) (2.57, 11.66) (0.15, 0.65) (0.85, 4.46)
 > 3–6 years (preschooler) 5.19 2.38 3.95 2.73 2.63 0.29 0.26
(3.17, 8.48) (1.47, 3.87) (2.23, 6.98) (1.34, 5.59) (1.04, 6.65) (0.12, 0.75) (0.03, 1.97)
 > 6-13 years (school-age) 2.75 2.18 2.58 2.20 1.92 0.77 2.01
(1.76, 4.29) (1.47, 3.24) (1.57, 4.23) (1.23, 3.94) (0.87, 4.21) (0.48, 1.24) (0.99, 4.04)
 > 13- ≤ 18 years (adolescent) 1 1 1 1 1 1 1
Sex        
 Male 1.11 1.18 1.35 1.08 1.51 1.11 1.22
(0.90, 1.36) (0.94, 1.47) (1.08, 1.70) (0.76, 1.54) (0.97, 2.34) (0.73, 1.69) (0.72, 2.05)
 Female 1 1 1 1 1 1 1
Socioeconomic status (IRSD)        
 Least disadvantaged 1.20 1.01 0.86 0.99 1.33 1.16 0.99
(0.98, 1.47) (0.81, 1.27) (0.69, 1.08) (0.70, 1.41) (0.87, 2.02) (0.75, 1.78) (0.59, 1.68)
 Most disadvantaged 1 1 1 1 1 1 1
Residence (ARIA+)        
 Major city 0.72 0.88 0.96 1.34 0.70 0.78 0.74
(0.56, 1.00) (0.68, 1.13) (0.75, 1.24) (0.93, 1.94) (0.41, 1.20) (0.48, 1.28) (0.59, 1.68)
 Regional or remote 1 1 1 1 1 1 1
Case mix        
 Medical 3.01 0.70 3.40 0.87 2.08 3.69 0.99
(2.18, 4.15) (0.55, 0.88) (2.26, 5.11) (0.58, 1.31) (1.11, 3.88) (1.76, 7.72) (0.56, 1.76)
 Surgical 1 1 1 1 1 1 1
Admission type        
 Emergency 1.21 0.36 1.00 1.23 0.98 0.78 0.23
(0.91, 1.62) (0.29, 0.46) (0.73, 1.37) (0.77, 1.97) (0.56, 1.73) (0.48, 1.28) (0.14, 0.40)
 Elective 1 1 1 1 1 1 1
Season        
 Autumn 1.00 1.28 1.28 0.87 0.81 0.88 1.68
(0.94, 1.41) (0.90, 1.82) (0.90, 1.78) (0.53, 1.45) (0.41, 1.63) (0.48, 1.62) (0.81, 3.47)
 Winter 2.02 1.68 1.27 0.74 1.64 1.02 0.59
(1.51, 2.72) (1.21, 2.34) (0.91, 1.77) (0.45, 1.23) (0.91, 2.96) (0.56, 1.84) (0.24, 1.46)
 Spring 1.54 1.58 1.27 1.07 1.37 1.05 1.53
(1.13, 2.10) (1.13, 2.21) (0.90, 1.78) (0.67, 1.73) (0.74, 2.55) (0.58, 1.92) (0.72, 3.25)
 Summer 1 1 1 1 1 1 1
  1. Note. Multivariable Poisson generalised linear regression analyses, length of stay as log offset and adjusted for year of admission. LRTI = lower respiratory tract infection other than pneumonia; GI = gastrointestinal tract; CNS = central nervous system; CVL = central venous line; IRSD = index of relative socio-economic disadvantage; ARIA + =geographic measure of remoteness. Results in bold indicate statistical significance at p < .05. Pressure ulcer, infectious diseases and failure to rescue not included in table as no statistically significant risks on multivariate analysis.
  2. a Neonates not included in risk pool.