Table 2.
1-year all-cause mortalityb | 1-year cardiovascular mortalityc | |||||
---|---|---|---|---|---|---|
Beta-blocker | N | Rate per 1,000 p-y | Adjusted HR (95% CI) | Rate per 1,000 p-y | Adjusted HR (95% CI) | |
Patients with hypertension (n = 19,673) | ||||||
Metoprolol | 12,652 | 234.7 | 1.00 (ref.) | 100.7 | 1.00 (ref.) | |
Carvedilol | 7,021 | 266.0 | 1.09 (1.02, 1.17) | 126.1 | 1.18 (1.07, 1.31) | |
Patients with atrial fibrillation (n = 3,761) | ||||||
Metoprolol | 2,525 | 406.1 | 1.00 (ref.) | 174.1 | 1.00 (ref.) | |
Carvedilol | 1,236 | 458.4 | 1.08 (0.94, 1.23) | 215.9 | 1.12 (0.94, 1.35) | |
Patients with heart failure (n = 9,358) | ||||||
Metoprolol | 5,251 | 336.7 | 1.00 (ref.) | 144.9 | 1.00 (ref.) | |
Carvedilol | 4,107 | 335.8 | 1.02 (0.94, 1.11) | 157.6 | 1.09 (0.96, 1.23) | |
Patients with a recent MI (n = 1,793) | ||||||
Metoprolol | 1,151 | 395.6 | 1.00 (ref.) | 187.1 | 1.00 (ref.) | |
Carvedilol | 642 | 443.6 | 1.02 (0.84, 1.23) | 244.7 | 1.19 (0.92, 1.53) |
An intent-to-treat design was employed in all analyses. Adjusted analyses controlled for baseline covariates listed in Table 1 using inverse probability of treatment weighting. Subgroups of interest were excluded the corresponding propensity score models. For example, in subgroup analyses of patients with hypertension, the hypertension covariate was excluded from the propensity score model.
Presented patient counts and outcome event rates are based on the unweighted cohort.
Cox proportional hazards models were used to estimate the associations between carvedilol (versus metoprolol) initiation and 1-year all-cause mortality.
Fine and Gray proportional subdistribution hazards models were used to estimate the associations between carvedilol (versus metoprolol) initiation and 1-year cardiovascular mortality. Non-cardiovascular death was treated as a competing risk.
Abbreviations: CI, confidence interval; HR, hazard ratio; no., number; p-y, person-year; MI, myocardial infarction