Table 3 Actual versus expected rates of outpatient failure (7-day secondary hospitalization or 30-day outpatient death) for each admission criteria among rule-concordant versus rule-discordant outpatients
From: Validating hospital admission criteria for decision support in pneumonia
All patients | CAP only (N = 2,002) | HCAP only (N = 306) | |||||||
|---|---|---|---|---|---|---|---|---|---|
Outpatient failure of concordant discharges | Outpatient failure of discordant discharges | p-value | Outpatient failure of concordant discharges | Outpatient failure of discordant discharges | p-value | Outpatient failure of concordant discharges | Outpatient failure of discordant discharges | p-value | |
Actual | 6.4% (N = 62/972) | 5.5% (N = 50/903) | 17.4% (N = 12/69) | ||||||
Our admission criteria 1 (no altitude adjustment) | 3.9% (N = 30/777) | 16.4% (N = 32/195) | <0.001 | 3.8% (N = 28/736) | 13.2% (N = 22/167) | <0.001 | 4.9% (N = 2/41) | 35.7% (N = 10/28) | 0.002 |
Our admission criteria 2 (altitude adjusted) | 4.1% (N = 35/846) | 21.4% (N = 27/126) | <0.001 | 4.1% (N = 33/802) | 16.8% (N = 17/101) | <0.001 | 4.6% (N = 2/44) | 40.0% (N = 10/25) | <0.001 |
CURB-65 ≥ 2 | 5.1% (N = 38/751) | 10.9% (N = 24/221) | 0.002 | 4.9% (N = 35/711) | 7.8% (N = 15/192) | 0.01 | 7.5% (N = 3/40) | 31.0% (N = 9/29) | 0.02 |
A-DROP ≥ 2 | 4.3% (N = 33/763) | 13.9% (N = 29/209) | <0.001 | 10.6% (N = 31/724) | 10.6% (N = 19/179) | 0.001 | 5.1% (N = 2/39) | 33.3% (N = 10/30) | 0.003 |