Table 3.
Univariable and Multivariable Analysis of Demographics and Geriatric Syndromes Associated with Secondary Prevention Medication Initiation after Resident Admission to Nursing Home after Acute Myocardial Infarction (N=11,192)
| Characteristic | Univariable Association (POR, 95% CI) |
Multivariable Association (POR, 95% CI)1 |
|---|---|---|
| Age in years | ||
| 65 to <75 | Reference | Reference |
| 75 to <85 | 0.78 (0.70–0.87) | 0.79 (0.70–0.89) |
| 85 to <95 | 0.62 (0.55–0.68) | 0.66 (0.58–0.74) |
| ≥95 | 0.44 (0.38–0.51) | 0.48 (0.40–0.57) |
| Sex | ||
| Male | Reference | Reference |
| Female | 0.80 (0.74–0.87) | 0.88 (0.80–0.96) |
| Race | ||
| White, non-Hispanic | Reference | Reference |
| Black, non-Hispanic | 1.19 (1.07–1.32) | 1.17 (1.03–1.33) |
| Hispanic | 1.10 (0.92–1.31) | 1.07 (0.87–1.31) |
| Other | 1.07 (0.72–1.38) | 1.08 (0.81–1.45) |
| Region | ||
| Northeast | Reference | Reference |
| Midwest | 0.79 (0.72–0.87) | 0.81 (0.72–0.91) |
| South | 0.66 (0.60–0.72) | 0.69 (0.62–0.77) |
| West | 0.82 (0.73–0.93) | 0.80 (0.68–0.93) |
| Caribbean | 0.77 (0.54–1.08) | 0.78 (0.53–1.14) |
| CHESS score (health instability) | ||
| No instability | Reference | Reference |
| Minimal | 0.91 (0.84–0.98) | 0.96 (0.87–1.05) |
| Low | 0.86 (0.78–0.96) | 0.90 (0.79–1.02) |
| Moderate to very high | 0.77 (0.62–0.95) | 0.92 (0.73–1.17) |
| Cognitive impairment | ||
| Cognitively intact | Reference | Reference |
| Mild | 0.84 (0.76–0.94) | 0.94 (0.84–1.06) |
| Moderate to severe | 0.67 (0.60–0.74) | 0.79 (0.70–0.89) |
| Dependence in activities of daily living | ||
| Independent/limited | Reference | Reference |
| Extensive | 0.92 (0.85–1.00) | 0.88 (0.81–0.97) |
| Dependent | 0.79 (0.72–0.87) | 0.77 (0.69–0.86) |
| Do not resuscitate order | ||
| No | Reference | Reference |
| Yes | 0.74 (0.69–0.79) | 0.90 (0.83–0.98) |
Abbreviations: POR, proportional odds ratio; COPD, Chronic Obstructive Pulmonary Disease; CHF, Congestive Heart Failure; CCU/ICU, Coronary Care Unit/Intensive Care Unit.
Multivariable analyses also adjusted for a wide range of variables not shown here including demographics, clinical conditions, baseline medications, geriatric syndromes, AMI characteristics, and nursing home characteristics; see Supplementary Table S4 for complete list.