Table 2. Association of cardiology care with overall, pre-admission and in-hospital estimation of left ventricular ejection fraction (LVEF) among nursing home residents hospitalized with heart failure (HF).
% (events/total) | Absolute difference (%) | Odds ratio (95% confidence interval) | P value | ||
---|---|---|---|---|---|
LVSF evaluation | Cardiology consultation | ||||
No | Yes | ||||
Pre-admission (in patients with known HF) (n=494) | |||||
Unadjusted | 12% (38/321) | 38% (66/173) | + 26% | 4.59 (2.91–7.25) 3.49 | <0.001 |
Adjusted* | --- | --- | --- | (2.16–5.66) | <0.001 |
In-hospital (in patients HF and unknown LVEF); n=452 | |||||
Unadjusted | 28% (93/333) | 71% (85/119) | + 43% | 6.45 (4.06–10.26) | <0.001 |
Adjusted† | --- | --- | --- | 6.01 (3.69–9.79) | <0.001 |
Adjusted for age, sex, race, new heart failure diagnosis, coronary artery disease, serum creatinine, hypertension, chronic obstructive pulmonary disease, stroke, diabetes mellitus, dementia, teaching hospital, rural hospital, and hospital with <100 beds
Adjusted for age, sex, race, coronary artery disease, hypertension, diabetes mellitus, chronic obstructive pulmonary disease, stroke, dementia, rural hospital, and hospital with <100 beds