Table 3.
Multivariable Cox proportional hazard model for association between mortality and income, cardiac catheterization, implanted cardioverter-defibrillator insertion, race and measures of health care access (n=891)
| Variable | Hazard Ratio | 95% CI | p-value | Interaction p-value |
|---|---|---|---|---|
| Cardiac catheterization, no | ||||
| Income more than $60,000 | ref | <0.01 | ||
| Income $30,000 to $60,000 | 1.14 | (0.98 – 1.32) | 0.09 | |
| Income less than $30,000 | 1.25 | (0.78 – 2.00) | 0.34 | |
| Cardiac catheterization, yes | ||||
| Income more than $60,000 | 0.21 | (0.14 – 0.32) | < 0.01 | |
| Income $30,000 to $60,000 | 0.46 | (0.37 – 0.57) | <0.01 | |
| Income less than $30,000 | 0.56 | (0.32 – 1.00) | 0.05 | |
| Implanted cardioverter-defibrillator, no | ||||
| Male | ref | <0.01 | ||
| Female | 0.85 | (0.78 – 0.92) | <0.01 | |
| Implanted cardioverter-defibrillator, yes | ||||
| Male | 0.49 | (0.40 – 0.59) | <0.01 | |
| Female | 0.66 | (0.50 – 0.87) | <0.01 | |
| Residence greater than 20 minutes from nearest hospital | 1.48 | (1.35 – 1.62) | <0.01 | |
| Residence in a rural ZIP code | 0.86 | (0.75 – 0.98) | 0.02 | |
| Residence in a Medically Underserved Area/Population | 0.99 | 0.91 – 1.08 | 0.88 | |
| Race | ||||
| White | ref | |||
| Black | 1.06 | (0.85 – 1.33) | 0.59 |
(Model controls for age, Charlson comorbidity index, prior ICD placement, out-of-hospital arrest location, shockable rhythm and favorable discharge CPC.)