Table 5.

Multivariable random effects logistic regression model to evaluate the association (OR [95% CI]) between patient and process characteristics with optimal in-hospital and discharge medical care.

	Optimal in-hospital medical therapy Adjusted OR* (95% CI)	Optimal discharge medical therapy Adjusted OR* (95% CI)
Age	1.00 (1.00, 1.01	1.00 (0.99, 1.00)
Women vs. men (ref)	1.00 (0.90, 1.12)	1.00 (0.89, 1.13)
Heart rate (per bpm)	1.01 (1.00, 1.01)	1.00 (1.00, 1.00)
Systolic blood pressure (per mmHg)	1.00 (1.00, 1.00)	1.00 (1.00, 1.00)
Killip >1 vs. =1 (ref)	0.56 (0.50, 0.63)	0.67 (0.59, 0.75)
NSTEMI vs. unstable angina (ref)	1.17 (0.95, 1.45)	1.71 (1.35, 2.16)
STEMI vs. unstable angina (ref)	0.51 (0.42, 0.62)	1.39 (1.15, 1.68)
Enzyme positive vs. negative (ref)	2.14 (1.75, 2.62)	0.74 (0.60, 0.90)
Creatinine (per mg/dl)	1.03 (0.97, 1.10)	0.97 (0.90, 1.04)
Optimal in-hospital medical therapy vs. non optimal in-hospital medical therapy (ref)	--	10.48 (9.37, 11.72)

^*Adjusted for within-hospital clustering and modified GRACE risk score variables: age, heart rate, systolic blood pressure, serum creatinine, Killip class, cardiac enzyme (positive vs. negative), and ST segment deviation and within-hospital clustering. Cardiac arrest at presentation excluded (N/A).