J Clin Med Res

Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc

Journal website http://www.jocmr.org

Original Article

Volume 8, Number 7, July 2016, pages 537-543

Determinants of Home Discharge Among Survivors of Necrotizing Fasciitis: A Population-Level Analysis

**Table 1.** Discharge Destinations Among of Survivors of NF-Associated Hospitalization
Group	n = 10,724
Home, n (%)	6,704 (62.5)
Routine	4,054 (37.8)
With home health services	2,651 (24.7)
Another hospital, n (%)	2,699 (25.2)
Nursing facility, n (%)	1,321 (12.3)

Table 1. Discharge Destinations Among of Survivors of NF-Associated Hospitalization

Group

n = 10,724

Home, n (%)

6,704 (62.5)

Routine

4,054 (37.8)

With home health services

2,651 (24.7)

Another hospital, n (%)

2,699 (25.2)

Nursing facility, n (%)

1,321 (12.3)

**Table 2.** Predictors of Home Discharge Among Survivors of Hospitalizations With Necrotizing Fasciitis
Covariate	Odds ratio	95% confidence interval	P
^aAge < 65 years was used as referent. ^bFemale gender was used as referent; gender was masked in 1,017 hospitalizations. The model to examine the role of gender was restricted to hospitalizations with available gender designation (n = 9,707). ^cWhite race was used as referent. ^dPoverty level < 20% used as referent. ^ePrivate insurance was used as referent. ^fHuman immunodeficiency virus.
Age (years)^a
65-74	0.667	0.560 - 0.794	< 0.0001
≥ 75	0.349	0.292 - 0.417	< 0.0001
Male^b	1.166	1.058 - 1.285	0.0020
Race/ethnicity^c
Black	0.946	0.817 - 1.095	0.4561
Hispanic	1.193	1.056 - 1.349	0.0046
Other	1.032	0.859 - 1.239	0.7388
Poverty ≥ 20%^d	1.243	1.105 - 1.398	0.0003
Health insurance^e
No health insurance	2.161	1.183 - 2.521	< 0.0001
Medicaid	1.547	1.307 - 1.830	< 0.0001
Medicare	0.582	0.510 - 0.663	< 0.0001
Chronic co-morbidity
Congestive heart failure	0.836	0.719 - 0.972	0.0201
Peripheral vascular disease	0.778	0.662 - 0.915	0.0024
Dementia	0.531	0.272 - 1.037	0.0637
Lung disease	0.982	0.842 - 1.145	0.8127
Connective tissue disease	0.983	0.725 - 1.334	0.9140
Diabetes	0.996	0.901 - 1.101	0.9373
Renal disease	0.720	0.625 - 0.830	< 0.0001
Chronic liver disease	0.684	0.522 - 0.895	0.0057
Malignancy	0.773	0.609 - 0.980	0.0333
Cerebrovascular disease	0.549	0.430 - 0.702	< 0.0001
HIV infection^f	0.829	0.475 - 1.448	0.5103
Teaching hospital	1.264	1.127 - 1.418	< 0.0001
Type of organ failure
Respiratory	0.464	0.386 - 0.558	< 0.0001
Cardiovascular	0.671	0.570 - 0.790	< 0.0001
Renal	0.717	0.625 - 0.822	0.0042
Hepatic	1.326	0.726 - 2.422	0.3591
Hematological	0.874	0.712 - 1.073	0.1978
Metabolic	0.778	0.632 - 0.958	0.0180
Neurological	0.573	0.418 - 0.787	0.0006
Life-support interventions
Mechanical ventilation	0.339	0.199 - 0.578	< 0.0001
Central venous catheterization	1.747	1.563 - 1.954	< 0.0001
Hemodialysis	1.337	1.020 - 1.754	0.0354

Table 2. Predictors of Home Discharge Among Survivors of Hospitalizations With Necrotizing Fasciitis

Covariate

Odds ratio

95% confidence interval

^aAge < 65 years was used as referent. ^bFemale gender was used as referent; gender was masked in 1,017 hospitalizations. The model to examine the role of gender was restricted to hospitalizations with available gender designation (n = 9,707). ^cWhite race was used as referent. ^dPoverty level < 20% used as referent. ^ePrivate insurance was used as referent. ^fHuman immunodeficiency virus.

Age (years)^a

65-74

0.667

0.560 - 0.794

< 0.0001

≥ 75

0.349

0.292 - 0.417

< 0.0001

Male^b

1.166

1.058 - 1.285

0.0020

Race/ethnicity^c

Black

0.946

0.817 - 1.095

0.4561

Hispanic

1.193

1.056 - 1.349

0.0046

Other

1.032

0.859 - 1.239

0.7388

Poverty ≥ 20%^d

1.243

1.105 - 1.398

0.0003

Health insurance^e

No health insurance

2.161

1.183 - 2.521

< 0.0001

Medicaid

1.547

1.307 - 1.830

< 0.0001

Medicare

0.582

0.510 - 0.663

< 0.0001

Chronic co-morbidity

Congestive heart failure

0.836

0.719 - 0.972

0.0201

Peripheral vascular disease

0.778

0.662 - 0.915

0.0024

Dementia

0.531

0.272 - 1.037

0.0637

Lung disease

0.982

0.842 - 1.145

0.8127

Connective tissue disease

0.983

0.725 - 1.334

0.9140

Diabetes

0.996

0.901 - 1.101

0.9373

Renal disease

0.720

0.625 - 0.830

< 0.0001

Chronic liver disease

0.684

0.522 - 0.895

0.0057

Malignancy

0.773

0.609 - 0.980

0.0333

Cerebrovascular disease

0.549

0.430 - 0.702

< 0.0001

HIV infection^f

0.829

0.475 - 1.448

0.5103

Teaching hospital

1.264

1.127 - 1.418

< 0.0001

Type of organ failure

Respiratory

0.464

0.386 - 0.558

< 0.0001

Cardiovascular

0.671

0.570 - 0.790

< 0.0001

Renal

0.717

0.625 - 0.822

0.0042

Hepatic

1.326

0.726 - 2.422

0.3591

Hematological

0.874

0.712 - 1.073

0.1978

Metabolic

0.778

0.632 - 0.958

0.0180

Neurological

0.573

0.418 - 0.787

0.0006

Life-support interventions

Mechanical ventilation

0.339

0.199 - 0.578

< 0.0001

Central venous catheterization

1.747

1.563 - 1.954

< 0.0001

Hemodialysis

1.337

1.020 - 1.754

0.0354