Table 2.
Inpatient and Outpatient Utilization After Index Admission*
| Region | |||||
|---|---|---|---|---|---|
| NE | S | MW | W | Total | |
| Patients surviving index admission | 7,968 | 26,184 | 13,742 | 11,167 | 59,061 |
| Outpatient utilization | |||||
| Patients with clinic visit within 60 days, % | |||||
| Cardiology and/or General Medicine | 38.4 | 33.1 | 32.6 | 45.7 | 36.1 |
| Both | 6.8 | 4.4 | 4.5 | 8.0 | 5.4 |
| Cardiology | 13.5 | 12.0 | 11.0 | 13.5 | 12.2 |
| General Medicine | 18.2 | 16.7 | 17.2 | 24.2 | 18.4 |
| Neither | 61.6 | 66.9 | 67.4 | 54.3 | 63.9 |
| Patients with clinic visit within 365 days, % | |||||
| Cardiology and/or General Medicine | 67.4 | 62.5 | 62.4 | 72.8 | 65.1 |
| Both | 27.3 | 21.7 | 20.4 | 28.9 | 23.5 |
| Cardiology | 14.9 | 16.1 | 14.2 | 12.9 | 14.9 |
| General Medicine | 25.2 | 24.7 | 27.8 | 31.0 | 26.7 |
| Neither | 32.6 | 37.5 | 37.6 | 27.2 | 34.9 |
| Inpatient utilization | |||||
| Patients with procedure within 60 days, % | |||||
| Cardiac catheterization† | 7.5 | 7.5 | 6.9 | 7.6 | 7.4 |
| CABG | 3.3 | 4.2 | 4.1 | 4.4 | 4.1 |
| PTCA | 2.7 | 2.8 | 2.7 | 2.9 | 2.8 |
| CABG or PTCA | 5.9 | 6.9 | 6.7 | 7.2 | 6.8 |
| Other cardiac procedures† | 7.3 | 7.3 | 7.6 | 7.8 | 7.5 |
| Patients with procedure within 365 days, % | |||||
| Cardiac catheterization | 13.7 | 16.2 | 14.4 | 15.4 | 15.3 |
| CABG | 5.9 | 7.1 | 6.3 | 7.7 | 6.8 |
| PTCA | 4.4 | 5.5 | 5.0 | 5.1 | 5.2 |
| CABG or PTCA | 9.8 | 12.1 | 10.8 | 12.4 | 11.5 |
| Other cardiac procedures† | 13.9 | 14.6 | 14.1 | 15.0 | 14.4 |
| Mean number of readmissions within 365 days, ±SD | 1.2 ± 1.6 | 1.2 ± 1.5 | 1.2 ± 1.6 | 1.2 ± 1.5 | 1.2 ± 1.6 |
| Mean number of cardiovascular readmissions within 365 days, ±SD† | 0.7 ± 1.1 | 0.7 ± 1.1 | 0.7 ± 1.1 | 0.7 ± 1.1 | 0.7 ± 1.1 |
| Patients who died | |||||
| Within 60 days, % | 4.5 | 4.1 | 4.7 | 4.1 | 4.3 |
| Within 1 year, % | 13.6 | 12.8 | 13.8 | 12.2 | 13.0 |
| During study period, % | 33.1 | 30.8 | 31.4 | 28.2 | 30.8 |
| Patients who died or had any readmission | |||||
| Within 60 days, % | 34.7 | 33.8 | 37.3 | 34.9 | 34.9 |
| Within 1 year, % | 60.9 | 59.7 | 61.7 | 59.4 | 60.3 |
| During study period, % | 77.7 | 76.4 | 77.2 | 75.0 | 76.5 |
| Patients who died or had cardiovascular readmission | |||||
| Within 60 days, % | 26.3 | 26.3 | 28.9 | 27.3 | 27.1 |
| Within 1 year, % | 48.1 | 48.5 | 49.6 | 48.1 | 48.6 |
| During study period, % | 67.4 | 67.4 | 67.7 | 65.4 | 67.1 |
| Patients who died or had any readmission more than 60 days after index admission | |||||
| Within 1 year, % | 46.1 | 44.9 | 44.7 | 43.6 | 44.8 |
| During study period, % | 69.9 | 68.4 | 67.7 | 66.0 | 68.0 |
| Patients who died or had cardiovascular readmission more than 60 days after index admission | |||||
| Within 1 year, % | 33.2 | 33.4 | 32.4 | 32.0 | 32.9 |
| During study period, % | 58.4 | 58.2 | 56.7 | 55.2 | 57.3 |
*
P = .001 for comparisons between regions except where indicated.
†
P > .05 for comparisons between regions.
NE, Northeast; S, South; MW, Midwest; W, West; CABG, coronary artery bypass grafting; PTCA, percutaneous transluminal coronary angioplasty.