OR | 95% CI | P value | |
Demographics | |||
Age | |||
16–25 | Baseline | ||
26–45 | 1.20 | 1.08 to 1.33 | 0.001 |
46–65 | 2.10 | 1.89 to 2.34 | <0.001 |
66–75 | 3.60 | 3.08 to 4.20 | <0.001 |
>75 | 6.73 | 5.79 to 7.81 | <0.001 |
Male | 1.12 | 1.03 to 1.21 | 0.005 |
Race | |||
White | Baseline | ||
Black | 1.08 | 0.98 to 1.18 | 0.1 |
Hispanic or Latino | 1.04 | 0.92 to 1.19 | 0.5 |
Other | 0.90 | 0.75 to 1.09 | 0.3 |
Insurance | |||
Medicaid | Baseline | ||
Medicare | 1.35 | 1.19 to 1.52 | <0.001 |
Private | 0.93 | 0.84 to 1.03 | 0.1 |
Self-pay | 1.71 | 1.52 to 1.93 | <0.001 |
Extrathoracic risk factors | |||
EtOH | |||
No-confirmed | Baseline | ||
Not tested | 0.97 | 0.88 to 1.06 | 0.5 |
Below 0.08 | 0.96 | 0.83 to 1.12 | 0.6 |
Above 0.08 | 0.73 | 0.66 to 0.82 | <0.001 |
Drugs | |||
No-confirmed | Baseline | ||
Not tested | 1.07 | 0.96 to 1.18 | 0.2 |
Yes-prescription | 0.71 | 0.60 to 0.83 | <0.001 |
Yes-illegal | 0.83 | 0.74 to 0.93 | 0.002 |
Injury Severity Score | 1.05 | 1.04 to 1.05 | <0.001 |
Lowest ED systolic blood pressure | 1.00 | 1.00 to 1.00 | <0.001 |
Temperature | 0.96 | 0.95 to 0.98 | <0.001 |
GCS motor score | 0.79 | 0.78 to 0.81 | <0.001 |
Thoracic risk factors | |||
Trauma-induced lung contusion | 0.91 | 0.84 to 0.99 | 0.025 |
Traumatic rib fracture | |||
No rib fractures | Baseline | ||
1 rib fracture | 0.68 | 0.59 to 0.78 | <0.001 |
2 rib fractures | 0.73 | 0.61 to 0.88 | 0.001 |
3 rib fractures | 0.64 | 0.52 to 0.78 | <0.001 |
4 rib fractures | 0.81 | 0.69 to 0.94 | 0.007 |
5 rib fractures | 0.57 | 0.46 to 0.71 | <0.001 |
6 rib fractures | 0.54 | 0.42 to 0.68 | <0.001 |
7 rib fractures | 0.43 | 0.33 to 0.56 | <0.001 |
≥8 rib fractures | 0.51 | 0.44 to 0.59 | <0.001 |
Rib fracture (NOS) | 0.76 | 0.66 to 0.87 | <0.001 |
Flail chest | 0.56 | 0.48 to 0.66 | <0.001 |
Comorbidities | |||
Alcoholism | 0.92 | 0.82 to 1.03 | 0.2 |
Bleeding disorder | 1.50 | 1.34 to 1.68 | <0.001 |
Congestive heart failure | 1.22 | 1.07 to 1.39 | 0.004 |
Current smoker | 0.78 | 0.70 to 0.88 | <0.001 |
Diabetes mellitus | 1.17 | 1.06 to 1.29 | 0.001 |
History of angina within 30 days | 0.97 | 0.73 to 1.30 | 0.9 |
History of myocardial infarction | 1.18 | 0.98 to 1.42 | 0.09 |
Hypertension requiring medications | 0.90 | 0.83 to 0.97 | 0.009 |
Obesity | 1.00 | 0.87 to 1.13 | 0.9 |
History of respiratory disease | 1.08 | 0.96 to 1.20 | 0.2 |
*C-statistic=0.94.
ED, emergency department; EtOH, preinjury alcohol consumption; GCS, Glasgow Coma Scale; NOS, not otherwise specified.