Table 1.
Pre-matched cohort |
Propensity matched cohort |
|||
---|---|---|---|---|
ACEi/ARB users |
Non-users |
ACEi/ARB users |
Non-users |
|
N = 101,494 | N = 135,714 | N = 67,822 | N = 67,822 | |
Demographics |
|
|
|
|
Women |
41,034 (40.4%) |
60,522 (44.6%) |
29,425 (43.4%) |
29,425 (43.4%) |
Age at index date (years) |
74 (70 to 78) |
73 (69 to 78) |
74 (70 to 78) |
74 (70 to 78) |
Age groups (years) |
|
|
|
|
66 to 70 |
30,557 (30.1%) |
43,652 (32.2%) |
20,098 (29.6%) |
20,165 (29.7%) |
71 to 75 |
30,966 (30.5%) |
40,782 (30.0%) |
20,482 (30.2%) |
20,391 (30.1%) |
76 to 80 |
23,898 (23.5%) |
29,529 (21.8%) |
15,982 (23.6%) |
15,779 (23.3%) |
81 to 85 |
11,812 (11.6%) |
15,361 (11.3%) |
8,101 (11.9%) |
8,205 (12.1%) |
86 to 90 |
3,651 (3.6%) |
5,294 (3.9%) |
2,682 (4.0%) |
2,761 (4.1%) |
91+ |
610 (0.6%) |
1,096 (0.8%) |
477 (0.7%) |
521 (0.8%) |
Comorbidities |
|
|
|
|
Chronic kidney disease |
7,538 (7.4%)a |
5,027 (3.7%)a |
3,852 (5.7%) |
3,852 (5.7%) |
Coronary artery disease |
67,921 (66.9%)a |
61,137 (45.0%)a |
40,114 (59.1%) |
40,346 (59.5%) |
Congestive heart failure |
22,108 (21.8%)a |
12,413 (9.1%)a |
10,740 (15.8%) |
10,317 (15.2%) |
Cerebrovascular disease |
18,016 (17.8%)a |
17,551 (12.9%)a |
10,970 (16.2%) |
11,097 (16.4%) |
Peripheral vascular disease |
6,490 (6.4%)a |
5,571 (4.1%)a |
3,675 (5.4%) |
3,599 (5.3%) |
COPD |
5,806 (5.7%) |
7,121 (5.2%) |
3,789 (5.6%) |
3,527 (5.2%) |
Chronic liver disease |
295 (0.3%) |
478 (0.4%) |
200 (0.3%) |
194 (0.3%) |
Medications |
|
|
|
|
Oral hypoglycemic |
21,267 (21.0%)a |
10,381 (7.6%)a |
8,766 (12.9%) |
8,625 (12.7%) |
Insulin |
6,089 (6.0%)a |
2,381 (1.8%)a |
2,348 (3.5%) |
1,937 (2.9%) |
Anti-diabetic medicationb |
25,041 (24.7%)a |
12,215 (9.0%)a |
10,364 (15.3%) |
10,076 (14.9%) |
β-blocker |
44,835 (44.2%)a |
34,096 (25.1%)a |
24,550 (36.2%) |
24,702 (36.4%) |
Calcium channel blocker |
36,659 (36.1%)a |
32,859 (24.2%)a |
21,630 (31.9%) |
22,131 (32.6%) |
Diureticc |
40,345 (39.8%)a |
22,042 (16.2%)a |
19,830 (29.2%) |
19,595 (28.9%) |
Statin |
53,915 (53.1%)a |
31,691 (23.4%)a |
27,348 (40.3%) |
26,913 (39.7%) |
Surgical characteristics |
|
|
|
|
Type of surgery |
|
|
|
|
Cardiac surgery |
40,694 (40.1%)a |
29,475 (21.7%)a |
22,222 (32.8%) |
22,380 (33.0%) |
Vascular surgery |
18,459 (18.2%)a |
18,969 (14.0%)a |
11,509 (17.0%) |
11,904 (17.5%) |
Thoracic surgery |
5,771 (5.7%) |
10,177 (7.5%) |
4,561 (6.7%) |
4,176 (6.2%) |
Abdominal surgery |
30,471 (30.0%)a |
64,911 (47.8%)a |
24,592 (36.2%) |
24,630 (36.3%) |
Retro-peritoneal surgery |
6,099 (6.0%)a |
12,182 (9.0%)a |
4,938 (7.3%) |
4,732 (7.0%) |
Era of surgery |
|
|
|
|
1995 to 1998 |
14,718 (14.5%)a |
45,173 (33.3%)a |
13,278 (19.6%) |
13,647 (20.1%) |
1999 to 2001 |
16,900 (16.6%)a |
30,122 (22.2%)a |
13,457 (19.8%) |
13,963 (20.6%) |
2002 to 2004 |
20,960 (20.7%)a |
21,992 (16.2%)a |
13,404 (19.8%) |
13,194 (19.5%) |
2005 to 2007 |
23,711 (23.4%)a |
19,520 (14.4%)a |
13,625 (20.1%) |
13,300 (19.6%) |
2008 to 2010 | 25,205 (24.8%)a | 18,907 (13.9%)a | 14,058 (20.7%) | 13,718 (20.2%) |
ACEi: Angiotensin converting enzyme inhibitor; ARB: Angiotensin receptor blocker; COPD: Chronic obstructive pulmonary disease.
Data are presented as number (percent) except age at index date, which is presented as median (interquartile range). Index date is a surgical procedure date or hospital admission date (if the surgical procedure date is not available).
aRepresents a standardized difference of >10% between ACEi or ARB users and non-users and we considered it as a meaningful difference [34]. Standardized difference is less sensitive to sample size compared to traditional hypothesis tests and is calculated by examining the difference between the two groups divided by the pooled standard deviation of the two groups [34].
bAnti-diabetic medication includes oral hypoglycemic and insulin. cDiuretic include loop diuretic and thiazide diuretic. 3.0% (3,091/101,494) patients were on ACEi and ARB.