Table 2.
Risk-Adjusted Performance Measures According to Kidney Function Group
Adjusted OR (95% C.I.) | ||||
---|---|---|---|---|
Mild vs. Normal | Moderate vs. Normal | Severe vs. Normal | Kidney failure vs. Normal | |
Discharge instructions* | 0.99 (0.88, 1.11) | 1.04 (0.91, 1.18) | 1.01 (0.86, 1.19) | 0.52 (0.43, 0.64) |
Evaluation of LV systolic function*† | 1.01 (0.81, 1.26) | 1.04 (0.86, 1.26) | 0.95 (0.73, 1.25) | 0.44 (0.32, 0.62) |
ACEI or ARB for LV systolic dysfunction* | 0.80 (0.61, 1.04) | 0.47 (0.36, 0.62) | 0.19 (0.13, 0.28) | 0.23 (0.14, 0.38) |
Smoking cessation counseling* | 1.15 (0.88, 1.51) | 1.14 (0.87, 1.50) | 1.10 (0.79, 1.53) | 0.68 (0.34, 1.35) |
β-blocker for LV systolic dysfunction | 0.94 (0.59, 1.49) | 0.79 (0.49, 1.25) | 0.89 (0.56, 1.43) | 0.57 (0.30, 1.09) |
Composite performance measure (100% compliance*) | 1.00 (0.89, 1.12) | 0.92 (0.83, 1.03) | 0.79 (0.68, 0.92) | 0.45 (0.36, 0.56) |
Warfarin for atrial fibrillation | 0.98 (0.67, 1.44) | 0.90 (0.63, 1.29) | 0.65 (0.41, 1.02) | 0.57 (0.33, 0.98) |
β-blocker (Bisoprolol, Carvedilol, or Metoprolol XL) for LV systolic dysfunction | 1.27 (1.04, 1.55) | 1.12 (0.92, 1.37) | 1.18 (0.91, 1.54) | 0.63 (0.43, 0.91) |
Discharge blood pressure < 140/90mmHg | 0.77 (0.64, 0.92) | 0.70 (0.58, 0.85) | 0.52 (0.42, 0.63) | 0.48 (0.38, 0.61) |
Variables for risk-adjustment – age, gender, race, body mass index at admission, systolic blood pressure at admission, heart rate at admission, anemia, cerebrovascular disease, diabetes, hyperlipidemia, hypertension, pulmonary disease, peripheral vascular disease, coronary artery disease/ischemic etiology, ejection fraction (%).
Joint Commission and Centers for Medicaid and Medicare Services performance measure.
Evaluation of left ventricular systolic function was not adjusted for ejection fraction.