Table 3. Differences in Patient Characteristics Between Percutaneous Ventricular Assist Device (PVAD) and Intra-aortic Balloon Pump (IABP) Recipientsin the United States, 2007 Through 2012.
Characteristic | % (SE) | P Value | |
---|---|---|---|
PVAD | IABP, All Programs | ||
Estimated procedure volume, weighted No. (SD) | 8123 (499) | 304 729 (9612) | <.001 |
Patient Characteristics | |||
Age | |||
Mean (SE), y | 66.1 (0.4) | 64.9 (0.1) | .007 |
≥65 y, No. (%) | 58.0 (1.4) | 52.5 (0.3) | <.001 |
Male sex | 73.6 (1.1) | 69.0 (0.2) | <.001 |
Race | |||
White | 63.4 (1.9) | 64.2 (1.0) | .03 |
Nonwhite | 24.7 (1.7) | 20.6 (0.7) | |
Missing/unknown | 12.0 (1.9) | 15.2 (1.1) | |
Income quartilea | |||
0-25 | 31.1 (1.7) | 26.4 (0.8) | .01 |
26-50 | 26.3 (1.2) | 26.7 (0.7) | |
51-75 | 22.2 (1.2) | 24.5 (0.5) | |
76-100 | 20.4 (1.6) | 22.4 (1.2) | |
Discharge diagnoses | |||
Cardiogenic shock | 34.3 (1.6) | 41.2 (0.6) | .001 |
Acute myocardial infarction | 48.0 (1.3) | 68.6 (0.5) | <.001 |
Congestive heart failure | 70.5 (1.3) | 47.9 (0.5) | <.001 |
Coronary artery disease | 85.0 (1.0) | 82.5 (0.4) | .02 |
Cardiac arrest | 17.4 (1.0) | 18.9 (0.3) | .16 |
Valvular heart disease | 22.4 (1.1) | 23.5 (0.4) | .31 |
Peripheral artery disease | 14.5 (0.9) | 8.5 (0.2) | <.001 |
Arrhythmia | 45.5 (1.4) | 44.1 (0.4) | .29 |
Comorbid conditions | |||
Hypertension | 63.1 (1.5) | 60.0 (0.5) | .04 |
Diabetes mellitus | 42.8 (1.3) | 36.5 (0.4) | <.001 |
Cancer | 8.4 (0.6) | 7.5 (0.2) | .12 |
Liver disease | 15.6 (1.2) | 9.3 (0.2) | <.001 |
COPD | 18.4 (1.0) | 15.6 (0.3) | .003 |
Dyslipidemia | 50.4 (1.4) | 47.4 (0.5) | .03 |
Chronic kidney disease | 27.3 (1.1) | 16.1 (0.3) | <.001 |
Fluid/electrolyte disorder | 35.5 (1.5) | 35.1 (0.6) | .81 |
Coagulation disorder | 16.4 (1.1) | 18.0 (0.4) | .17 |
Substance abuse | 2.0 (0.3) | 2.0 (0.1) | .85 |
Procedures | |||
PCI | 70.9 (1.5) | 40.4 (0.5) | <.001 |
CABG | 6.2 (0.7) | 43.2 (0.6) | <.001 |
Mechanical ventilation | 24.3 (1.3) | 29.8 (0.5) | <.001 |
Administrative/Financial Details | |||
Payment source | |||
Medicare | 60.9 (1.5) | 51.6 (0.4) | <.001 |
Medicaid | 7.5 (0.7) | 7.5 (0.2) | |
Private insurance | 25.0 (1.4) | 31.3 (0.4) | |
Others | 6.6 (0.7) | 9.6 (0.2) | |
Elective admission | 27.8 (1.5) | 18.0 (0.5) | <.001 |
Hospitalization outcome | |||
Home or self-care | 45.8 (1.4) | 34.6 (0.5) | <.001 |
Short-term hospital | 3.3 (0.5) | 7.5 (0.3) | |
Skilled care facility | 16.3 (1.0) | 19.7 (0.3) | |
Home health care | 12.7 (0.9) | 18.3 (0.4) | |
Discharged alive, unknown | 0.2 (0.1) | 0.4 (0.0) | |
Died | 21.7 (1.2) | 19.5 (0.3) | |
Length of stay, mean (SE), d | 10.4 (0.5) | 11.3 (0.1) | <.001b |
Unadjusted mortality | 21.7 (1.1) | 19.5 (0.3) | .05 |
Abbreviations: CABG, coronary artery bypass graft; COPD, chronic obstructive pulmonary disease; PCI, percutaneous coronary intervention; PVAD, percutaneous ventricular assist device.
Median household income quartiles based on patient zip code.
For differences in geometric means of length of stay.