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KMID : 1002520150090020081
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Korean Journal of Health Service Management
2015 Volume.9 No. 2 p.81 ~ p.88
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Comparing Risk-adjusted In-hospital Mortality for Craniotomies : Logistic Regression versus Multilevel Analysis
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Kim Sun-Hee
Lee Kwang-Soo
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Abstract
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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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KEYWORD
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Craniotomy, Risk-adjusted In-hospital Mortality, Logistic Regression, Multilevel Analysis
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