| Outcomes during index hospitalization |
| ICU use (n = 49 990) |
| Unadjusted |
3.63 (3.55, 3.71) |
<.0001 |
2.84 (2.78, 2.91) |
<.0001 |
12.13 (11.61, 12.68) |
<.0001 |
4.27 (4.08, 4.47) |
<.0001 |
| Adjusteda
|
3.70 (3.61, 3.79) |
<.0001 |
2.87 (2.80, 2.95) |
<.0001 |
11.81 (11.28, 12.37) |
<.0001 |
4.11 (3.92, 4.31) |
<.0001 |
| In-hospital mortality (n = 28 118) |
| Unadjusted |
7.06 (6.87, 7.26) |
<.0001 |
5.63 (5.47, 5.80) |
<.0001 |
18.42 (17.63, 19.25) |
<.0001 |
3.27 (3.13, 3.42) |
<.0001 |
| Adjusteda
|
3.52 (3.41, 3.63) |
<.0001 |
2.88 (2.79, 2.98) |
<.0001 |
7.61 (7.24, 8.01) |
<.0001 |
2.64 (2.52, 2.78) |
<.0001 |
| Outcomes during 30 days postdischarge, among survivors of index hospitalization, n = 180 465 |
| 30-day readmissions (n = 13 558) |
| Unadjusted |
1.52 (1.46, 1.58) |
<.0001 |
1.54 (1.48, 1.61) |
<.0001 |
1.32 (1.19, 1.46) |
<.0001 |
0.85 (0.77, 0.95) |
.0034 |
| Adjusteda
|
1.03 (0.99, 1.07) |
.1581 |
1.04 (1.00, 1.08) |
.0825 |
0.96 (0.86, 1.06) |
.4151 |
0.92 (0.83, 1.03) |
.1349 |
| 30-day outpatient visits (n = 22 048) |
| Unadjusted |
0.91 (0.88, 0.94) |
<.0001 |
0.91 (0.87, 0.94) |
<.0001 |
0.90 (0.82, 0.99) |
.0228 |
0.99 (0.90, 1.09) |
.9022 |
| Adjusteda
|
0.83 (0.79, 0.86) |
<.0001 |
0.82 (0.79, 0.85) |
<.0001 |
0.85 (0.77, 0.94) |
.0008 |
1.04 (0.94, 1.14) |
.4775 |
| 30-day in-hospital mortality (n = 1691) |
| Unadjusted |
2.09 (1.90, 2.31) |
<.0001 |
2.17 (1.96, 2.39) |
<.0001 |
1.53 (1.17, 2.01) |
.0022 |
0.71 (0.54, 0.93) |
.0145 |
| Adjusteda
|
1.09 (0.98, 1.21) |
.1149 |
1.10 (0.99, 1.23) |
.0697 |
0.93 (0.70, 1.23) |
.6001 |
0.84 (0.63, 1.11) |
.2255 |
| 30-day dialysis (n = 371) |
| Unadjusted |
6.77 (5.44, 8.42) |
<.0001 |
6.53 (5.22, 8.17) |
<.0001 |
8.64 (5.95, 12.56) |
<.0001 |
1.32 (0.93, 1.88) |
.1215 |
| Adjusteda
|
4.46 (3.50, 5.70) |
<.0001 |
4.37 (3.41, 5.60) |
<.0001 |
5.28 (3.53, 7.89) |
<.0001 |
1.21 (0.84, 1.75) |
.3134 |
| 30-day new dialysisb (n = 266) |
| Unadjusted |
4.17 (3.27, 5.31) |
<.0001 |
4.27 (3.33, 5.46) |
<.0001 |
3.32 (1.83, 6.01) |
<.0001 |
0.78 (0.43, 1.40) |
.4035 |
| Adjusteda
|
2.76 (2.11, 3.61) |
<.0001 |
2.80 (2.13, 3.68) |
<.0001 |
2.37 (1.28, 4.38) |
.0060 |
0.85 (0.46, 1.54) |
.5859 |