Table 3

Adjusted segmented negative binomial regressions (adjusted for mean centred aggregated bed days)

TestTime periodIncidence rate ratioLower 95% CIUpper 95% CIP-valueType 3 p-value
Overall0.043*
Preimplementation1.0041.0011.007
During-implementation1.0020.9991.004
Postimplementation1.0071.0041.010
Postimplementation vs Preimplementation1.0030.9991.0070.108
Estimated intervention effect0.9890.9431.0370.645
UEC0.090
Preimplementation1.0031.0011.006
During-implementation1.0031.0001.005
Postimplementation1.0081.0051.011
Postimplementation vs Preimplementation1.0041.0001.0080.030*
Estimated intervention effect0.9810.9381.0250.382
FBC0.017*
Preimplementation1.0041.0011.008
During-implementation1.0010.9981.004
Postimplementation1.0081.0051.011
Postimplementation vs Preimplementation1.0040.9991.0080.092
Estimated intervention effect0.9760.9171.0370.429
Troponin0.640
Preimplementation1.0090.9991.019
During-implementation1.0080.9971.019
Postimplementation1.0010.9881.013
Postimplementation vs Preimplementation0.9920.9761.0080.339
Estimated intervention effect0.9780.7941.2070.839
TSH0.005*
Preimplementation1.0191.0061.033
During-implementation0.9650.9540.977
Postimplementation1.0131.0041.022
Postimplementation vs Preimplementation0.9940.9781.0100.443
Estimated intervention effect0.7690.6000.9850.038*
Vitamin D0.099
Preimplementation1.0291.0111.048
During-implementation1.0030.9721.034
Postimplementation0.9980.9821.014
Postimplementation vs Preimplementation0.9690.9470.9920.010*
Estimated intervention effect0.6500.4660.9070.011*
HbA1c0.242
Preimplementation1.0010.9921.011
During-implementation0.9900.9810.999
Postimplementation0.9890.9800.999
Postimplementation vs Preimplementation0.9880.9751.0020.086
Estimated intervention effect1.0450.8681.2590.640
CRP0.154
Preimplementation1.0141.0021.026
During-implementation1.0070.9971.018
Postimplementation1.0000.9941.006
Postimplementation vs Preimplementation0.9870.9741.0000.044*
Estimated intervention effect1.0990.8931.3530.374
  • For each test, the ‘post vs pre’ line reflects the slope change, and the ‘estimated intervention effect’ line reflects the step change.

  • *Significant at <0.05.

  • CRP, C reactive protein; FBC, full blood count; TSH, thyroid-stimulating hormone; UEC, urea, electrolytes and creatinine.