Skip to main content

Table 4 Predictors of Type of Bladder Antimuscarinics Initiation, Stratified by Sex

From: An investigation of factors predicting the type of bladder antimuscarinics initiated in Medicare nursing homes residents

 

Females (n = 9322)

Males (n = 3011)

New non-selective ER user vs. new non-selective IR user

New selective user vs. New non-selective IR user

New non-selective ER user vs. new non-selective IR user

New selective user vs. New non-selective IR user

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

Race

 White

–

–

Ref.

Ref.

 Black

–

–

1.771 (1.319–2.379)a

1.085 (0.708–1.664)

 Other Race

–

–

1.092 (0.685–1.742)

1.930 (1.086–3.430)a

Nursing Home Region

 Midwest

Ref.

Ref.

Ref.

Ref.

 Northeast

0.687 (0.603–0.782)a

0.607 (0.503–0.734)a

0.419 (0.329–0.534)a

0.422 (0.295–0.605)a

 South

0.709 (0.629–0.799)a

1.074 (0.917–1.257)

0.528 (0.420–0.664)a

1.094 (0.823–1.453)

 West

0.849 (0.689–1.047)

0.686 (0.501–0.940)a

0.886 (0.628–1.250)

0.550 (0.328–0.923)a

Body Mass Index

 Underweight

0.769 (0.643–0.919)a

0.700 (0.537–0.913)a

0.846 (0.583–1.227)

0.498 (0.262–0.949)a

 Normal

Ref.

Ref.

Ref.

Ref.

 Overweight

1.122 (0.992–1.269)

1.151 (0.974–1.359)

0.982 (0.791–1.218)

1.413 (1.065–1.876)a

 Obese

1.402 (1.229–1.598)a

1.284 (1.073–1.537)a

1.398 (1.085–1.801)a

1.739 (1.251–2.418)a

Cognitive Performance Score

 Intact

Ref.

Ref.

Ref.

Ref.

 Borderline intact/Mild Impairment

1.005 (0.878–1.150)

1.024 (0.854–1.228)

0.968 (0.747–1.255)

1.103 (0.782–1.558)

 Moderate impairment

0.991 (0.853–1.150)

0.884 (0.722–1.084)

1.018 (0.772–1.342)

1.073 (0.740–1.556)

 Moderate-severe/Severe/Very Severe impairment

0.523 (0.424–0.645)a

0.424 (0.310–0.579)a

0.519 (0.361–0.747)a

0.715 (0.432–1.185)

CHESS

 Score of 0

Ref.

Ref.

Ref.

Ref.

 Score of 1 or 2

0.959 (0.855–1.077)

0.916 (0.783–1.071)

0.882 (0.716–1.086)

0.709 (0.539–0.932)a

 Score of 3

0.793 (0.653–0.963)a

0.906 (0.693–1.185)

0.517 (0.354–0.754)a

0.683 (0.422–1.106)

 Score of 4 or 5

0.666(0.468–0.948)a

0.673 (0.396–1.144)

0.657 (0.318–1.356)

1.639 (0.727–3.695)

Activities of Daily Living

0.989 (0.979–0.998)a

0.975 (0.963–0.988)a

0.983 (0.964–1.002)

0.969 (0.945–0.994)a

Elixhauser/Other Comorbidities

 Aphasia

0.564 (0.404–0.787)a

0.523 (0.313–0.903)a

–

–

 Congestive Heart Failure

0.816 (0.720–0.925)a

0.804 (0.674–0.959)a

–

–

 Hypertension, Uncomplicated

1.348 (1.213–1.497)a

1.105 (0.957–1.276)

–

–

 Weight Loss

0.765 (0.622–0.942)a

0.767 (0.565–1.042)

–

–

 Blood Loss Anemia

0.982 (0.709–1.361)

0.585 (0.348–0.982)a

–

–

 Hemiplegia/Hemiparesis

–

–

1.581 (1.152–2.168)a

1.618 (1.075–2.435)a

 Diabetes, Complicated

–

–

0.889 (0.615–1.284)

0.405 (0.215–0.766)a

Bladder Continence

 Continent

Ref.

Ref.

Ref.

Ref.

 Usually Continent

1.144 (0.963–1.359)

0.999 (0.789–1.265)

1.543 (1.108–2.149)a

0.994 (0.640–1.543)

 Occasionally Incontinent

1.570 (1.311–1.881)a

1.359 (1.063–1.737)a

1.601 (1.153–2.224)a

1.510 (0.994–2.294)

 Frequently Incontinent

1.406 (1.182–1.672)a

1.389 (1.097–1.760)a

2.011 (1.484–2.726)a

1.264 (0.846–1.888)

 Incontinent

1.048 (0.835–1.315)

1.100 (0.791–1.531)

1.282 (0.902–1.822)

1.055 (0.652–1.708)

Indwelling Catheter

1.028 (0.864–1.222)

0.774 (0.600–0.998)a

–

–

No Bladder Continence Appliance or Program

1.158 (1.002–1.339)a

0.917 (0.753–1.117)

–

–

Pads/Briefs Used

–

–

0.769 (0.602–0.982)a

1.271 (0.917–1.763)

Bowel Continence

 Continent

Ref.

Ref.

Ref.

Ref.

 Usually Continent

0.750 (0.626–0.899)a

0.940 (0.742–1.191)

0.754 (0.535–1.061)

0.954 (0.622–1.463)

 Occasionally Incontinent

0.981 (0.786–1.224)

0.812 (0.597–1.104)

0.855 (0.581–1.258)

0.783 (0.469–1.309)

 Frequently Incontinent

0.771 (0.633–0.938)a

0.640 (0.483–0.848)a

0.737 (0.525–1.036)

0.596 (0.371–0.958)a

 Incontinent

0.656 (0.529–0.813)a

0.564 (0.409–0.778)a

0.742 (0.519–1.062)

0.560 (0.340–0.920)a

Bowel Elimination Pattern: Regular

0.962 (0.854–1.084)

0.846 (0.720–0.995)a

–

–

Urinary Tract Infection in Last 30 Days

1.123 (0.997–1.265)

1.254 (1.067–1.474)a

–

–

Gait

 Unsteady Gait

1.156 (1.044–1.280)a

1.074 (0.935–1.234)

–

–

 Fell in Past 30 days

1.153 (1.032–1.288)a

1.053 (0.904–1.226)

1.315 (1.077–1.607)a

1.063 (0.812–1.390)

 Hip Fracture in Last 180 Days

1.297 (1.063–1.583)a

1.084 (0.811–1.449)

–

–

 Other Fracture in Last 180 Days

1.230 (1.033–1.465)a

1.339 (1.059–1.694)a

–

–

Balance While Standing

 Maintained position as required in test

–

–

Ref.

Ref.

 Unsteady, but able to rebalance self without physical support

–

–

0.572 (0.370–0.885)a

0.806 (0.465–1.396)

 Partial physical support during test or stands but does not follow directions for test

–

–

0.766 (0.503–1.167)

0.879 (0.513–1.506)

 Not able to attempt test without physical help

–

–

0.777 (0.500–1.208)

0.896 (0.506–1.588)

Balance While Sitting

 Maintained position as required in test

–

–

Ref.

Ref.

 Unsteady, but able to rebalance self without physical support

–

–

0.968 (0.719–1.302)

1.259 (0.871–1.819)

 Partial physical support during test or stands but does not follow directions for test

–

–

0.883 (0.662–1.178)

0.702 (0.463–1.064)

 Not able to attempt test without physical help

–

–

0.650 (0.466–0.909)a

0.580 (0.356–0.945)a

Concomitant Medications

 Calcium Channel Blockers

1.025 (0.917–1.145)

1.195 (1.031–1.386)a

–

–

 Cognitive Enhancers

1.057 (0.939–1.191)

1.280 (1.091–1.501)a

–

–

 Antiparkinson

0.891 (0.749–1.059)

1.334 (1.066–1.668)a

0.957 (0.727–1.259)

1.462 (1.039–2.056)a

 Antipsychotics

0.500 (0.440–0.567)a

0.875 (0.735–1.043)

0.440 (0.349–0.556)a

0.891 (0.657–1.207)

 Antivertigo

0.296 (0.256–0.342)a

0.763 (0.624–0.932)a

0.174 (0.127–0.237)a

0.642 (0.430–0.960)a

 Anxiolytic Sedative or Hypnotic Agent

0.671 (0.580–0.775)a

1.070 (0.879–1.302)

0.723 (0.548–0.952)a

0.911 (0.625–1.327)

 Antidepressant

0.585 (0.526–0.651)a

1.326 (1.145–1.535)a

0.617 (0.508–0.952)a

1.313 (1.012–1.704)a

 ARB

1.066 (0.913–1.244)

1.340 (1.103–1.629)a

–

–

 Alpha Blockers

0.763 (0.622–0.935)a

0.893 (0.678–1.176)

1.286 (1.067–1.549)a

1.752 (1.372–2.237)a

 Anticonvulsant

0.733 (0.650–0.826)a

0.941 (0.801–1.106)

0.755 (0.607–0.940)a

0.965 (0.726–1.283)

 Vasodilators

0.609 (0.526–0.705)a

1.071 (0.879–1.306)

0.508 (0.390–0.663)a

0.912 (0.641–1.297)

 Benzodiazepines

1.968 (1.099–3.526)a

2.232 (1.085–4.592)a

3.592 (1.331–9.690)a

Omission (Not enough data)

Anticholinergic Burden Score

1.455 (1.418–1.493)a

0.798 (0.767–0.830)a

1.578 (1.501–1.659)a

0.846 (0.786–0.911)a

  1. aIndicates statistical significance