Table 5.
Quality measures and care outcomes (n = 81289 patients)
| 30-day mortality (1825 deaths) | Read mission (8653 readmissions) | |||||
|---|---|---|---|---|---|---|
| Value | Unadjusted Odds Ratio (95% CI) |
Adjusted* odds ratio - Adjusted for confounders only (95% CI) |
Adjusted* Odds Ratio - Adjusted for volume measures and confounders (95% CI) |
Unadjusted Odds Ratio (95% CI) |
Adjusted** odds - Adjusted for confounders only (95% CI) |
Adjusted** Odds Ratio - Adjusted for volume measures and confounders (95% CI) |
| Individual measures | ||||||
| No aspirin | 1.17 (1.06, 1.29) | 1.90 (1.66, 2.16) | 1.89 (1.65, 2.16) | 0.91 (0.87, 0.95) | 1.01 (0.94, 1.08) | 1.00 (0.94, 1.06) |
| No beta-blocker | 0.82 (0.72, 0.93) | 1.29 (1.12, 1.48) | 1.29 (1.12, 1.49) | 0.83 (0.78, 0.88) | 0.95 (0.89, 1.01) | 0.96 (0.90, 1.02) |
| No statin | 1.23 (1.12, 1.35) | 1.07 (0.95, 1.20) | 1.07 (0.95, 1.21) | 0.95 (0.91, 0.99) | 0.97 (0.91, 1.04) | 0.96 (0.91, 1.02) |
| No prophylactic antibiotics |
1.12 (0.94, 1.35) | 1.25 (0.77, 2.00) | 1.25 (0.79, 2.00) | 0.82 (0.74, 0.91) | 0.87 (0.76, 1.00) | 0.90 (0.80, 1.01) |
| Inappropriate antibiotics | 2.05 (1.86, 2.25) | 0.66 (0.58, 0.74) | 0.66 (0.58, 0.75) | 1.26 (1.20, 1.32) | 1.10 (1.05, 1.15) | 1.12 (1.08, 1.17) |
| No serial compression device |
1.22 (1.09, 1.37) | 1.00 (0.82, 1.22) | 1.00 (0.83, 1.22) | 1.01 (0.95, 1.06) | 0.99 (0.90, 1.09) | 1.01 (0.93, 1.09) |
|
Number of measures missed* |
||||||
| 0 missed | Referent | Referent | Referent | Referent | Referent | Referent |
| 1 missed | 1.68 (1.35, 2.10) | 1.05 (0.79, 1.37) | 1.05 (0.80, 1.38) | 1.10 (1.01, 1.20) | 1.00 (0.92, 1.10) | 1.01 (0.92, 1.10) |
| 2 missed | 1.58 (1.28, 1.95) | 1.15 (0.87, 1.53) | 1.15 (0.87, 1.53) | 1.09 (1.01, 1.18) | 0.99 (0.91, 1.08) | 1.00 (0.92, 1.09) |
| 3 missed | 2.43 (1.99, 2.98) | 1.54 (1.20, 1.98) | 1.54 (1.20, 1.98) | 1.08 (0.99, 1.17) | 0.99 (0.90, 1.10) | 1.00 (0.91, 1.10) |
| 4 or more | 2.37 (1.92, 2.92) | 1.62 (1.23, 2.14) | 1.63 (1.24, 2.15) | 1.03 (0.95, 1.13) | 0.98 (0.88, 1.10) | 1.02 (0.93, 1.13) |
CI – Confidence interval.
Number of measures missed: 9378 patients (12%) had no missed measures, 14884 (18%) had one missed, 20534 (25%) had 2 missed, 21232 (26%) had 3 missed, and 15261 (18%) had 4 or more missed.
Confounders included in mortality models: age, gender, diagnosis-related group predicted mortality, congestive heart failure, hypertension, neurological disorders, diabetes with complications, renal failure, coagulopathy, deficiency anemia, and whether or not an internal mammary graft was used during the procedure.
Confounders included in readmission models: age, gender, race, insurance type, admission status , diagnosis-related group predicted mortality, chronic obstructive lung disease, peripheral vascular disease, diabetes, diabetes with complications, renal failure, electrolyte disorders, deficiency anemia, psychoses, depression, and geographic region.