Table 3.
Multivariable predictors of CRT-D implantation compared to CRT-P.
| CRT Procedures, N (% CRT-D) | CRT-D Predictors, RR (95% CI) | |
|---|---|---|
| Calendar Year | ||
| 2006 | 55,496 (89.0) | ref |
| 2007 | 48,453 (88.2) | 1.00 (0.98 - 1.02) |
| 2008 | 46,282 (87.4) | 1.00 (0.97 - 1.02) |
| 2009 | 49,011 (86.7) | 0.99 (0.96 - 1.01) |
| 2010 | 40,688 (85.0) | 0.97 (0.94 – 0.99) |
| 2011 | 37,270 (82.1) | 0.94 (0.91 – 0.97) |
| 2012 | 33885 (81.5) | 0.94 (0.91 - 0.96) |
| Age | ||
| 18-54 | 32,982 (92.5) | ref |
| 55-64 | 55,376 (92.1) | 0.99 (0.98 - 1.00) |
| 65-74 | 95,768 (89.6) | 0.96 (0.95 - 0.98) |
| 75-84 | 102,074 (83.5) | 0.90 (0.88 - 0.92) |
| ≥85 | 24,886 (62.0) | 0.66 (0.62 - 0.70) |
| Male | 218,883 (88.6) | 1.10 (1.09 – 1.10) |
| Race | ||
| White | 196,786 (85.6) | ref |
| Black | 27,584 (91.0) | 1.06 (1.04 - 1.07) |
| Other* | 27,605 (87.8) | 1.01 (0.99 - 1.03) |
| Primary payer | ||
| Private | 60,020 (89.9) | Ref |
| Medicare | 225,462 (84.5) | 1.01 (1.00 -1.02) |
| Medicaid | 14,861 (92.0) | 1.02 (1.00 - 1.03) |
| Other† | 10,338 (90.0) | 0.99 (0.97 - 1.01) |
| Elective admission | 157,336 (87.5) | 1.04 (1.03 - 1.05) |
| Region | ||
| Midwest | 81,012 (84.1) | ref |
| Northeast | 60,734 (89.4) | 1.06 (1.04 – 1.09) |
| South | 117,162 (86.0) | 1.01 (0.98 - 1.04) |
| West | 52,178 (85.8) | 1.01 (0.98 - 1.03) |
| Hospital location/teaching | ||
| Urban, teaching | 185,080 (86.3) | ref |
| Urban, non-teaching | 111,423 (86.8) | 1.01 (0.99 - 1.03) |
| Rural | 12,334 (77.4) | 0.91 (0.77 - 1.00) |
| Ischemic heart disease | 204,259 (88.8) | 1.11 (1.10 - 1.11) |
| Ventricular arrhythmia | 77,932 (94.9) | 1.14 (1.13 – 1.14) |
| Left bundle branch block | 103,639 (90.7) | 1.08 (1.07 - 1.09) |
| Complete AV block | 28,083 (69.4) | 0.83 (0.81 - 0.85) |
| Atrial fibrillation | 116,505 (78.9) | 0.91 (0.90 - 0.92) |
| Elixhauser comorbidities | ||
| 0 | 49,952 (87.1) | ref |
| 1-2 | 154,891 (86.8) | 1.00 (0.92 - 1.08) |
| 3-4 | 81,745 (85.0) | 0.98 (0.97 - 0.99) |
| ≥5 | 24,497 (83.6) | 0.98 (0.96 - 0.99) |
Includes Hispanic, Asian or Pacific Islander, Native American, and other.
Includes self-pay, no charge, and other.