Table 3.
Characteristic | Total Cohort (N=4,184) Odds Ratio (95% CI) | 1995/1997 (n=1,323) Odds Ratio (95% CI) | 2003/2005 (n=1,448) Odds Ratio (95% CI) |
---|---|---|---|
Age (yrs) | |||
65–74 | 0.65 (0.53, 0.80) | 0.70 (0.46, 1.06) | 0.51 (0.36, 0.73) |
75–84 | 0.59 (0.48, 0.73) | 0.52 (0.33, 0.82) | 0.37 (0.26, 0.53) |
≥85 | 0.78 (0.60, 1.00) | 0.46 (0.27, 0.80) | 0.49 (0.32, 0.75) |
Women | 0.79 (0.68, 0.91) | 0.73 (0.56, 0.94) | 0.72 (0.56, 0.92) |
Medical History | |||
Angina pectoris | 0.95 (0.80, 1.12) | 1.19 (0.89, 1.59) | 1.46 (1.08, 1.98) |
Stroke | 0.97 (0.77, 1.23) | 1.15 (0.72, 1.85) | 0.90 (0.60, 1.34) |
Hypertension | 0.94 (0.81, 1.10) | 1.14 (0.88, 1.47) | 1.49 (1.12, 1.99) |
Diabetes mellitus | 0.97 (0.83, 1.13) | 0.97 (0.74, 1.26) | 0.72 (0.55, 0.93) |
Heart Failure | 1.03 (0.86, 1.23) | 1.02 (0.72, 1.45) | 1.13 (0.82, 1.55) |
AMI associated characteristics | |||
Initial | 0.99 (0.85, 1.15) | 1.18 (0.89, 1.57) | 0.84 (0.65, 1.10) |
Q-wave | 0.72 (0.61, 0.85) | 0.84 (0.64, 1.12) | 0.60 (0.43, 0.85) |
Anterior | 0.71 (0.60, 0.85) | 0.96 (0.73, 1.27) | 0.92 (0.63, 1.35) |
Clinical complications | |||
Heart failure | 0.43 (0.67, 0.50) | 0.42 (0.31, 0.55) | 0.38 (0.30, 0.51) |
Cardiogenic shock | 0.29 (0.16, 0.53) | 0.12 (0.03, 0.53) | 0.52 (0.21, 1.30) |
Recurrent angina | 0.41 (0.35, 0.49) | 0.41 (0.30, 0.54) | 0.39 (0.28, 0.53) |
Atrial fibrillation | 0.75 (0.62, 0.91) | 0.67 (0.43, 1.03) | 0.71 (0.52, 1.00) |
Stroke | 0.31 (0.16, 0.62) | 0.09 (0.01, 0.73) | 0.41 (0.13, 1.26) |
Do not resuscitate order | 0.82 (0.67, 1.00) | 1.16 (0.77, 1.73) | 1.07 (0.76, 1.49) |
Payer | |||
Private payment | 0.58 (0.34, 1.02) | 1.11 (0.40, 3.04) | 0.52 (0.20, 1.32) |
Private insurance | 0.84 (0.53, 1.34) | 0.42 (0.16, 1.12) | 0.71 (0.36, 1.38) |
Medicaid | 0.70 (0.45, 1.11) | 0.94 (0.36, 2.46) | 0.70 (0.35, 1.41) |
Medicare | 0.59 (0.45, 0.79) | 0.86 (0.42, 1.77) | 0.88 (0.60, 1.30) |
HMO | 0.96 (0.72, 1.27) | 0.85 (0.42, 1.73) | 0.90 (0.61, 1.31) |
Other | 0.98 (0.66, 1.43) | 1.11 (0.46, 2.65) | 0.88 (0.43, 1.77) |
Therapies | |||
Effective Cardiac Medications | 1.68 (0.87, 3.23) | 0.73 (0.28, 1.92) | 999.99 (0.01, >999.99) |
Any Intervention procedures | 1.04 (0.89, 1.21) | 0.45 (0.34, 0.61) | 1.07 (0.78, 1.45) |
Note. *Respective referent categories = age<65 years, male sex, absence of selected medical history variables, prior AMI, Non-Q-wave AMI, inferior or posterior AMI, absence of selected clinical complications, absence of a do not resuscitate order, Blue Cross Blue Shield insurance, not receiving cardiac medications, and not undergoing cardiac procedures.
Effective cardiac medications: aspirin, β-blockers, angiotensin-converting enzyme (ACE) inhibitors, lipid lowering agents, and thrombolytics