The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Comparing Risk-adjusted In-hospital Mortality for Craniotomies : Logistic Regression versus Multilevel Analysis

로지스틱 회귀분석과 다수준 분석을 이용한 Craniotomy 환자의 사망률 평가결과의 일치도 분석

  • Kim, Sun-Hee (Department of Medical Care and Hospital Administration, Hallym Polytechnic University) ;
  • Lee, Kwang-Soo (Department of Health Administration, Yonsei University)
  • 김선희 (한림성심대학교 의무행정과) ;
  • 이광수 (연세대학교 보건행정학과)
  • Received : 2015.05.18
  • Accepted : 2015.06.18
  • Published : 2015.06.30
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Abstract

The purpose of this study was to compare the risk-adjusted in-hospital mortality for craniotomies between logistic regression and multilevel analysis. By using patient sample data from the Health Insurance Review & Assessment Service, in-patients with a craniotomy were selected as the survey target. The sample data were collected from a total number of 2,335 patients from 90 hospitals. The sample data were analyzed with SAS 9.3. From the results of the existing logistic regression analysis and multilevel analysis, the values from the multilevel analysis represented a better model than that of logistic regression. The intra-class correlation (ICC) was 18.0%. It was found that risk-adjusted in-hospital mortality for craniotomies may vary in every hospital. The agreement by kappa coefficient between the two methods was good for the risk-adjusted in-hospital mortality for craniotomies, but the factors influencing the outcome for that were different.

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