All ETDs from UAB

Advisory Committee Chair

Kimberly Martin

Advisory Committee Members

Emily Levitan

Chen Lin

Document Type

Thesis

Date of Award

2022

Degree Name by School

Master of Science (MS) School of Public Health

Abstract

Intracerebral hemorrhage (ICH) is associated with a high risk of in-hospital mortality therefore we decided to define the effect of procedures and other risk factors on in-hospital mortality among different regions in the US. South and UAB Hospital. We used 2 datasets, the University of Alabama at Birmingham Hospital data and the National Inpatient Sample (NIS). We included 425 patients with a diagnosis of intracerebral hemorrhage over 18 years of age from the UAB Hospital stroke registry between 2016 to 2019; in NIS between 2016 to 2018, 68525 patients age 18 or above met inclusion criteria selected by International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) (I61.0-I61.9), and 27341 were in the South. Inhospital mortality rates were calculated for different regions, hospital size, and urban teaching hospitals. The result showed that UAB Hospital had a higher in-hospital mortality rate compare to other regions. Logistic regression model was used to assess differences in predictors of in-hospital mortality in different procedures. In the joint regression model ICH database, UAB Hospital [OR (95% CI) 1.335 (1.068, 1.670)] and East South Central Large Urban teaching hospitals [OR (95% CI) 1.141 (1.028, 1.268)] were associated with higher in-hospital mortality compared to South Atlantic Large Urban teaching hospitals adjusted for age, gender, race, insurance, and procedures. Linear regression model was used to predict the association among UAB Hospital data and NIS South Large Urban teaching with hospital data. In the combined dataset, patients iii in NIS East South Central Large Urban teaching hospitals [β (95% CI), -0. 320 (-0.605, -0.034)], UAB Hospital [β(95% CI), -1.248 -1.889, -0.607)] were likely to stay in hospital less day compared to patients in South Atlantic Large Urban teaching hospitals. In conclusion, the study found that UAB Hospital had a higher in-hospital mortality compared to the South Large Urban teaching hospitals, however, due to limitations, further studies with more covariables will help better understand the inhospital mortality rate.

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