Table 3.
Overall and subgroup analyses for frail community-dwelling older patients with coronary artery disease (CAD) statin users vs non-users: multivariate and propensity score (PS) quintiles adjusted models
Deaths | Patients | Person- years |
Three-year mortality rate (n° events per 100 person-years) |
Multivariable models* |
PS quintiles adjusted models |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All | Statin use |
Change† | HR | 95% CI | p-value | HR | 95% CI | p-value | |||||
No | Yes | ||||||||||||
MPI-SVaMA risk group | |||||||||||||
MPI-SVaMA-1 mild risk | 338 | 785 | 1442 | 23.4 | 33.1 | 15.7 | −17.4 | 0.36 | 0.29-0.43 | <0.001 | 0.45 | 0.37-0.55 | <0.001 |
MPI-SVaMA-2 moderate risk | 641 | 1096 | 1638 | 39.1 | 53.8 | 24.6 | −29.2 | 0.39 | 0.32-0.47 | <0.001 | 0.44 | 0.36-0.53 | <0.001 |
MPI-SVaMA-3 severe risk | 540 | 716 | 709 | 76.2 | 129.3 | 38.1 | −91.2 | 0.19 | 0.14-0.28 | <0.001 | 0.28 | 0.21-0.39 | <0.001 |
Age | |||||||||||||
65-74.9 years | 182 | 326 | 534 | 34.1 | 64.5 | 24.1 | −40.4 | 0.24 | 0.16-0.34 | <0.001 | 0.38 | 0.27-0.53 | <0.001 |
75-84.9 years | 574 | 1051 | 1637 | 35.1 | 53.3 | 23.4 | −29.9 | 0.34 | 0.28-0.41 | <0.001 | 0.45 | 0.38-0.54 | <0.001 |
85 years | 763 | 1220 | 1618 | 47.2 | 62.0 | 24.4 | −37.6 | 0.37 | 0.30-0.45 | <0.001 | 0.44 | 0.37-0.54 | <0.001 |
All | 1519 | 2597 | 3789 | 40.1 | 59.0 | 23.8 | −35.2 | 0.35 | 0.30-0.39 | <0.001 | 0.44 | 0.39-0.49 | <0.001 |
MPI-SVaMA = Multidimensional Prognostic Index-Standardized Multidimensional Assessment Schedule for Adults and Aged Persons.
Models were adjusted for: age at SVaMA evaluation, sex, nursing care needs (VIP), cognitive status (VCOG), pressure sores risk (VPIA), activities of daily living (VADL), mobility (VMOB), social support (VSOC) (all MPI-SVaMA domains), the needing of care assistants, the main diagnoses of fractures, cancer, dementia, stroke, hypokinetic syndrome and cardiovascular, respiratory neurological or other diseases and number of all medications prescribed within one year before patient’s enrollment (tertiles).
Difference of mortality rates between statins users versus non-user.