borderline significantp<0.0001
Relative to central hospitals, patients at hospitals in the most peripheral quartile had significantly higher odds of death, but patients at hospitals in quartile 2 were no different from the reference, and those in quartile 3 were borderline significant for reduced mortality (OR (95% CI): Q1 2.10 (1.76–2.51), p<0.0001; Q2 1.00 (0.87–1.15), p = 0.997; Q3 0.89 (0.79–1.00), p = 0.050; Q4 (reference)).