Table 1 Patient characteristics according to readmission status.
Variable | CCI = 0 (n = 842,272) | CCI = 1 (n = 701,476) | CCI = 2 (n = 347,537) | CCI ≥ 3 (n = 403,061) | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Not readmitted | Readmitted | p-value | Not readmitted | Readmitted | p-value | Not readmitted | Readmitted | p-value | Not readmitted | Readmitted | p-value | |
Age | 62 ± 13 | 65 ± 14 | <0.001 | 64 ± 12 | 66 ± 13 | <0.001 | 67 ± 12 | 68 ± 13 | <0.001 | 66.8 ± 12 | 68 ± 13 | <0.001 |
Female | 27.1% | 36.1% | <0.001 | 33.3% | 41.4% | <0.001 | 35.6% | 42.0% | <0.001 | 36.3% | 40.5% | <0.001 |
Year | <0.001 | <0.001 | 0.010 | 0.15 | ||||||||
2010 | 22.6% | 24.5% | 22.3% | 22.9% | 21.6% | 21.6% | 19.7% | 19.7% | ||||
2011 | 20.7% | 21.9% | 20.6% | 21.3% | 20.1% | 21.1% | 19.5% | 20.1% | ||||
2012 | 19.1% | 18.8% | 19.1% | 19.5% | 19.0% | 19.0% | 19.1% | 18.9% | ||||
2013 | 19.6% | 18.8% | 19.7% | 19.3% | 20.2% | 19.3% | 20.9% | 20.7% | ||||
2014 | 18.0% | 16.0% | 18.2% | 17.0% | 19.1% | 19.0% | 20.8% | 20.5% | ||||
Elective admission | 16.0% | 11.5% | <0.001 | 18.0% | 11.8% | <0.001 | 18.0% | 11.5% | <0.001 | 16.2% | 10.6% | <0.001 |
Weekend admission | 21.3% | 22.0% | 0.007 | 19.6% | 21.3% | <0.001 | 19.7% | 21.5% | <0.001 | 20.1% | 21.7% | <0.001 |
Diagnosis of AMI | 60.1% | 58.4% | <0.001 | 48.8% | 50.3% | <0.001 | 43.7% | 45.9% | <0.001 | 43.4% | 47.1% | <0.001 |
Primary expected payer | <0.001 | <0.001 | <0.001 | <0.001 | ||||||||
Medicare | 40.2% | 50.5% | 49.7% | 57.6% | 61.9% | 68.6% | 73.0% | 77.2% | ||||
Medicaid | 6.1% | 8.4% | 8.3% | 10.5% | 8.2% | 9.7% | 7.1% | 8.1% | ||||
Private | 40.7% | 29.5% | 31.2% | 22.1% | 22.1% | 15.4% | 15.2% | 10.9% | ||||
Uninsured | 7.7% | 6.4% | 6.1% | 5.3% | 3.9% | 3.1% | 2.0% | 1.6% | ||||
No charge | 1.0% | 1.1% | 0.9% | 0.9% | 0.6% | 0.4% | 0.3% | 0.2% | ||||
Other | 4.2% | 4.0% | 3.9% | 3.6% | 3.3% | 2.7% | 2.5% | 2.0% | ||||
Median household income (percentile) | <0.001 | <0.001 | 0.001 | 0.013 | ||||||||
0-25th | 25.7% | 27.0% | 29.5% | 31.4% | 31.4% | 32.4% | 31.5% | 32.4% | ||||
26-50th | 24.7% | 24.6% | 25.6% | 25.7% | 25.8% | 26.2% | 25.3% | 25.3% | ||||
51-75th | 24.9% | 24.5% | 23.9% | 23.4% | 23.0% | 22.7% | 23.1% | 22.9% | ||||
76-100th | 24.7% | 23.9% | 21.0% | 19.5% | 19.9% | 18.7% | 20.1% | 19.4% | ||||
Smoking | 41.2% | 37.5% | <0.001 | 41.9% | 40.1% | <0.001 | 44.4% | 42.4% | <0.001 | 39.2% | 38.1% | 0.001 |
Alcohol misuse | 2.8% | 3.1% | 0.003 | 2.5% | 2.7% | 0.035 | 2.6% | 3.0% | 0.005 | 2.4% | 2.5% | 0.63 |
Dyslipidemia | 66.8% | 63.4% | <0.001 | 75.3% | 70.6% | <0.001 | 75.2% | 70.3% | <0.001 | 72.9% | 69.0% | <0.001 |
Hypertension | 64.1% | 66.9% | <0.001 | 77.6% | 77.5% | 0.63 | 81.3% | 81.1% | 0.54 | 85.8% | 86.0% | 0.51 |
Bed size | <0.001 | <0.001 | 0.007 | 0.046 | ||||||||
Small | 6.2% | 5.4% | 5.7% | 5.1% | 5.4% | 4.9% | 4.9% | 4.6% | ||||
Medium | 21.1% | 20.6% | 20.5% | 21.0% | 20.4% | 19.9% | 20.3% | 20.7% | ||||
Large | 72.7% | 74.0% | 73.8% | 73.9% | 74.2% | 75.2% | 74.8% | 74.7% | ||||
Location | 0.26 | 0.26 | 0.054 | 0.17 | ||||||||
Rural | 0.2% | 0.1% | 0.2% | 0.2% | 0.2% | 0.2% | 0.3% | 0.2% | ||||
Urban | 99.8% | 99.9% | 99.8% | 99.8% | 99.8% | 99.8% | 99.8% | 99.8% | ||||
Teaching status | <0.001 | 0.002 | <0.001 | <0.001 | ||||||||
Nonteaching | 46.5% | 47.7% | 45.2% | 46.3% | 44.5% | 46.2% | 43.2% | 44.9% | ||||
Teaching status | 53.5% | 52.3% | 54.8% | 53.7% | 55.5% | 53.8% | 56.8% | 55.1% | ||||
Multivessel disease | 14.7% | 15.1% | 0.14 | 16.4% | 15.8% | 0.008 | 17.0% | 16.5% | 0.099 | 18.1% | 17.7% | 0.16 |
Bifurcation disease | 2.8% | 2.6% | 0.074 | 2.8% | 2.7% | 0.38 | 3.0% | 2.7% | 0.048 | 3.1% | 3.0% | 0.19 |
Circulatory support | 2.7% | 4.9% | <0.001 | 2.7% | 4.1% | <0.001 | 3.0% | 3.7% | <0.001 | 3.7% | 3.9% | 0.29 |
Vasopressor use | 0.4% | 0.6% | <0.001 | 0.4% | 0.5% | <0.001 | 0.5% | 0.6% | 0.071% | 0.6% | 0.7% | 0.40 |
IABP use | 2.6% | 4.6% | <0.001 | 2.4% | 3.7% | <0.001 | 2.6% | 3.2% | <0.001 | 3.0% | 3.2% | 0.081 |
FFR use | 1.7% | 1.6% | 0.61 | 1.9% | 1.8% | 0.34 | 2.1% | 2.1% | 0.78 | 2.2% | 2.5% | 0.005 |
IVUS use | 6.9% | 7.0% | 0.52 | 7.0% | 7.0% | 0.90 | 7.2% | 6.9% | 0.20 | 7.2% | 6.8% | 0.016 |
DES | 76.0% | 69.6% | <0.001 | 75.6% | 69.7% | <0.001 | 72.5% | 67.4% | <0.001 | 69.7% | 66.0% | <0.001 |
Complete heart block | 0.9% | 1.2% | <0.001 | 0.9% | 1.0% | 0.33 | 1.0% | 1.2% | 0.010 | 1.3% | 1.2% | 0.83 |
Stroke or TIA | 1.3% | 1.9% | <0.001 | 2.4% | 2.7% | 0.006 | 4.3% | 4.3% | 0.93 | 6.7% | 6.0% | <0.001 |
Cardiogenic shock | 2.3% | 4.0% | <0.001 | 2.4% | 1.7% | <0.001 | 2.9% | 3.8% | <0.001 | 3.7% | 3.9% | 0.17 |
Cardiac arrest | 1.9% | 2.6% | <0.001 | 1.4% | 1.7% | <0.001 | 1.6% | 1.7% | 0.26 | 2.1% | 1.7% | <0.001 |
Acute kidney injury | 0.3% | 0.6% | <0.001 | 0.4% | 0.8% | <0.001 | 0.6% | 1.1% | <0.001 | 1.3% | 1.4% | 0.097 |
Bleeding | 0.4% | 0.7% | <0.001 | 0.5% | 0.9% | <0.001 | 0.7% | 1.1% | <0.001 | 1.3% | 1.5% | 0.041 |
Blood transfusion | 0.04% | 0.08% | 0.002 | 0.05% | 0.10% | <0.001 | 0.06% | 0.07% | 0.77 | 0.05% | 0.08% | 0.036 |
Vascular complication | 0.6% | 0.8% | <0.001 | 0.7% | 1.0% | <0.001 | 1.0% | 1.2% | 0.001 | 1.2% | 1.3% | 0.035 |
Emergency CABG | 1.2% | 1.8% | <0.001 | 1.4% | 1.8% | <0.001 | 1.6% | 1.3% | 0.011 | 1.3% | 1.0% | <0.001 |
Discharge location | <0.001 | <0.001 | <0.001 | <0.001 | ||||||||
Home (self-care) | 94.2% | 87.3% | 91.2% | 83.2% | 85.2% | 76.0% | 74.3% | 66.2% | ||||
Short term hospital | 0.4% | 0.8% | 0.4% | 0.6% | 0.4% | 0.7% | 0.7% | 0.8% | ||||
Transfer to other institution | 1.6% | 4.0% | 2.7% | 5.4% | 5.4% | 8.3% | 10.7% | 13.3% | ||||
Care home | 3.4% | 7.2% | 5.3% | 9.9% | 8.5% | 14.3% | 13.9% | 18.9% | ||||
Discharge against medical advice or discontinue care | 0.4% | 0.8% | 0.4% | 0.8% | 0.4% | 0.8% | 0.4% | 0.8% | ||||
Length of stay | 2.8 ± 3.5 | 3.5 ± 3.1 | <0.001 | 3.2 ± 4.2 | 3.9 ± 3.3 | <0.001 | 4.1 ± 5.8 | 4.6 ± 3.9 | <0.001 | 6.3 ± 8.6 | 6.0 ± 6.7 | <0.001 |
Cost of index PCI | $19,764 ± 14,066 | $21,257 ± 13,460 | <0.001 | $20,558 ± 15,948 | $21,933 ± 13,622 | <0.001 | $22,741 ± 19,409 | $23,580 ± 14,7044 | <0.001 | $27,723 ± 26,288 | $26,736 ± 16,559 | <0.001 |