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. Author manuscript; available in PMC: 2009 Oct 1.
Published in final edited form as: Am Heart J. 2008 Oct;156(4):674–681. doi: 10.1016/j.ahj.2008.05.028

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.