Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse—2004-2011

Manuel, Jennifer I.; Lee, Jane

doi:10.1186/s13011-017-0114-5

Substance Abuse Treatment, Prevention, and Policy

Table 2 Multinomial Logistic Regression Models of Discharge Dispositions for ED Visits Involving Drug Misuse and Abuse, DAWN 2004–2011 (N = 14,245,776)

From: Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse—2004-2011

	Released to Police/Jail^a			Referral to Outpatient Detox/Drug Treatment^a			Inpatient Detox or Psychiatric Admission^a			General Hospital Admission^a			Transferred to Another Facility^a			Left Against Medical Advice^a
	RRR	95% CI	p	RRR	95% CI	p	RRR	95% CI	p	RRR	95% CI	p	RRR	95% CI	p	RRR	95% CI	p
Year	0.95	0.89–1.01	0.076	0.96	0.88–1.04	0.287	0.86	0.78–0.95	0.002	0.98	0.93–1.02	0.304	1.04	0.97–1.11	0.328	0.96	0.93–.99	0.034
Male Gender	1.96	1.75–2.19	<.001	1.08	0.99–1.18	0.083	1.02	0.92–1.13	0.661	1.00	0.94–1.06	0.913	1.04	0.95–1.14	0.420	1.30	1.17–1.45	<.001
Age (years)
18–20 (reference)	1.00			1.00			1.00			1.00			1.00			1.00
21–34	1.18	1.02–1.37	0.024	1.46	1.27–1.68	<.001	1.91	1.66–2.19	<.001	1.86	1.61–2.15	<.001	1.60	1.42–1.80	<.001	1.60	1.35–1.89	<.001
35–54	1.21	0.96–1.51	0.100	1.36	1.17–1.59	<.001	2.26	1.97–2.60	<.001	3.13	2.60–3.76	<.001	1.82	1.62–2.05	<.001	1.81	1.50–2.18	<.001
55+	0.81	0.56–1.17	0.259	0.65	0.54–0.78	<.001	1.32	1.10–1.58	0.003	4.38	3.60–5.32	<.001	1.09	0.95–1.24	0.231	1.37	1.06–1.77	0.015
Race/Ethnicity
Non-Hispanic White (reference)	1.00			1.00			1.00			1.00			1.00			1.00
Non-Hispanic Black	1.18	1.02–1.37	0.024	0.72	0.54–0.97	0.030	1.10	0.89–1.37	0.386	1.12	0.94–1.34	0.197	0.82	0.61–1.11	0.200	0.79	0.69–0.91	0.001
Hispanic	1.69	1.39–2.06	<.001	0.71	0.56–0.90	0.005	1.11	0.87–1.42	0.406	0.71	0.56–0.90	0.005	0.83	0.58–1.19	0.303	0.68	0.58–0.81	<.001
Other	1.50	0.97–2.30	0.067	0.97	0.64–1.46	0.879	1.87	1.24–2.81	0.003	1.04	0.85–1.28	0.712	1.51	1.04–2.19	0.031	0.77	0.50–1.17	0.223
Misuse or Abuse Drug Category^b
Alcohol only (reference)	1.00			1.00			1.00			1.00			1.00			1.00
Prescription Drugs only	0.70	0.56–0.88	0.002	0.48	0.40–0.59	<.001	0.63	0.48–0.83	0.001	0.76	0.67–0.87	<.001	0.73	0.55–0.95	0.020	1.34	1.02–1.77	0.038
Illicit Drugs only	1.87	1.42–2.48	<.001	1.81	1.44–2.27	<.001	1.60	1.19–2.15	0.002	0.75	0.63–0.88	0.001	0.94	0.81–1.09	0.391	2.05	1.57–2.68	<.001
Illicit Drugs w/ Alcohol	1.34	1.09–1.64	0.005	2.35	1.87–2.96	<.001	2.40	1.96–2.94	<.001	0.64	0.55–0.74	<.001	1.15	0.95–1.38	0.146	1.45	1.09–1.95	0.012
Prescription Drugs w/ Alcohol	1.09	0.80–1.48	0.597	0.95	0.74–1.22	0.677	1.10	0.85–1.42	0.479	1.02	0.88–1.17	0.832	1.13	0.94–1.35	0.188	1.42	1.01–1.99	0.041
Illicit w/ Prescription Drugs	1.7	1.33–2.17	<.001	1.29	1.05–1.59	0.018	0.87	0.67–1.13	0.301	0.99	0.84–1.17	0.938	0.98	0.82–1.18	0.855	1.76	1.29–2.39	<.001
Illicit w/ Prescription Drugs & Alcohol	2.05	1.46–2.87	<.001	1.57	1.21–2.05	0.001	1.26	0.92–1.71	0.149	0.89	0.73–1.08	0.230	1.34	1.10–1.63	0.004	1.79	1.19–2.68	0.005

^aCompared to the probability of being discharged home (base outcome)
^bPrescription drug use refers to nomedical use of pharmaceuticals
Relative Risk Ratio (RRR) estimates were tested using t statistics with 1331 degrees of freedom
Design-based F-statistics: F(84, 1331) = 94.89 (p < 0.001)

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