Table 3.
Multivariate Analysis for in-Hospital Mortality, LOS, and Medical Cost During Heart Failure Hospitalizations in Patients Stratified by the Presence or Absence of VHD
In-Hospital Mortality | Length of Stay | Medical Cost | |||||||
---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | p-value | IRR | 95% CI | p-value | RR | 95% CI | p-value | |
VHD | 1.01 | 0.95–1.08 | 0.723 | 1.05 | 1.03–1.07 | <0.001 | 1.28 | 1.25–1.32 | <0.001 |
Ischemic heart disease | 0.77 | 0.73–0.83 | <0.001 | 0.99 | 0.97–1.01 | 0.281 | 1.16 | 1.14–1.18 | <0.001 |
Cardiomyopathy | 1.38 | 1.21–1.58 | <0.001 | 1.10 | 1.06–1.14 | <0.001 | 1.15 | 1.10–1.19 | <0.001 |
Age | 1.03 | 1.03–1.03 | <0.001 | 1.00 | 1.00–1.00 | <0.001 | 0.99 | 0.99–0.99 | <0.001 |
Male | 1.29 | 1.22–1.36 | <0.001 | 0.96 | 0.94–0.97 | <0.001 | 1.00 | 0.98–1.01 | 0.501 |
Smoking index | 1.00 | 1.00–1.00 | 0.591 | 1.00 | 1.00–1.00 | 0.020 | 1.00 | 1.00–1.00 | 0.049 |
ADL | 0.92 | 0.92–0.93 | <0.001 | 0.98 | 0.98–0.98 | <0.001 | 0.98 | 0.98–0.98 | <0.001 |
BMI | 0.95 | 0.94–0.96 | <0.001 | 1.00 | 0.99–1.00 | 0.018 | 1.00 | 1.00–1.00 | 0.318 |
Emergency hospitalization | 1.14 | 1.08–1.22 | <0.001 | 1.00 | 0.98–1.01 | 0.759 | 1.13 | 1.11–1.15 | <0.001 |
Hypertension | 0.49 | 0.47–0.52 | <0.001 | 0.89 | 0.88–0.90 | <0.001 | 0.91 | 0.89–0.92 | <0.001 |
Diabetes | 0.90 | 0.85–0.96 | 0.001 | 1.06 | 1.04–1.08 | <0.001 | 1.07 | 1.05–1.08 | <0.001 |
CKD | 1.28 | 1.20–1.36 | <0.001 | 1.09 | 1.07–1.11 | <0.001 | 1.02 | 1.00–1.03 | 0.102 |
Hyperlipidemia | 0.63 | 0.58–0.68 | <0.001 | 0.93 | 0.92–0.95 | <0.001 | 1.00 | 0.98–1.02 | 0.923 |
Atrial fibrillation | 0.68 | 0.64–0.72 | <0.001 | 0.99 | 0.97–1.00 | 0.055 | 0.98 | 0.96–0.99 | 0.001 |
Hospital beds: ≤199* | 1.48 | 1.36–1.61 | <0.001 | 1.30 | 1.27–1.33 | <0.001 | 0.97 | 0.94–0.99 | 0.012 |
Hospital beds: 200–499* | 1.29 | 1.21–1.37 | <0.001 | 1.18 | 1.16–1.20 | <0.001 | 0.94 | 0.93–0.96 | <0.001 |
Note: *Reference was hospital beds ≥500.
Abbreviations: ADL, activities of daily living; BMI, body mass index; CI, confidence interval; CKD, chronic kidney disease; IRR, incident rate ratio; LOS, length of stay; OR, odds ratio; RR, rate ratio; VHD, valvular heart disease.