Table 2.
Overall Follow‐up Cohort (n=11 599)a | Subgroup Randomly Selected for Index Hospital Bill Collection (n=4619) | |
---|---|---|
Sociodemographic characteristics | ||
Age, y | ||
<55 | 32.6 | 35.6 |
55 to 64 | 33.6 | 34.1 |
65 to 74 | 21.8 | 20.6 |
≥75 | 12.0 | 9.7 |
Women | 28.0 | 26.0 |
White | 88.4 | 87.7 |
Hispanic | 3.3 | 4.0 |
≥High school education | 88.4 | 89.7 |
Employed | 50.0 | 53.2 |
Health insurance | ||
Private | 64.8 | 66.1 |
Government | 20.6 | 18.4 |
None | 14.6 | 15.5 |
Comorbid illness | ||
Dyslipidemia | 66.1 | 64.4 |
Hypertension | 67.5 | 65.3 |
Peripheral arterial disease | 6.4 | 5.5 |
Prior stroke/TIA | 5.4 | 4.7 |
Diabetes mellitus | 26.5 | 26.1 |
Chronic lung disease | 9.9 | 9.3 |
Smoker (within the past year) | 38.0 | 39.3 |
GI/GU bleeding in the past 6 mo | 1.1 | 1.0 |
Creatinine | ||
<30 mg/dL | 3.9 | 3.1 |
30 to 44 mg/dL | 9.0 | 8.1 |
45 to 59 mg/dL | 16.8 | 15.4 |
≥60 mg/dL | 70.4 | 73.4 |
Severity of cardiac disease/presentation acuity | ||
Atrial fibrillation | 4.7 | 4.3 |
Prior MI | 19.5 | 17.8 |
Prior CABG | 9.3 | 8.5 |
Prior PCI | 21.6 | 19.8 |
HF | ||
Signs within 2 wks before admission | 6.6 | 5.0 |
History without signs within 2 wks of admission | 3.4 | 2.8 |
EF <40% | 12.6 | 12.5 |
Left main disease | 2.9 | 2.6 |
No. of diseased vessels | ||
≤1 | 50.9 | 52.2 |
2 | 31.6 | 30.5 |
≥3 | 17.5 | 17.3 |
Lesion length (sum, mm) | ||
<15 | 20.0 | 19.1 |
15 to 22 | 29.1 | 29.8 |
23 to 30 | 25.4 | 26.0 |
≥31 | 25.5 | 25.2 |
Bifurcated culprit lesion | 11.2 | 11.3 |
Culprit lesion in graft | 4.5 | 3.8 |
STEMI on presentation | 51.8 | 54.1 |
Cardiac arrest on presentation | 3.0 | 3.2 |
Cardiogenic shock on presentation | 2.1 | 2.3 |
Heart rate on presentation, beats per min | ||
<60 | 12.9 | 12.7 |
60 to 100 | 74.7 | 73.7 |
>100 | 12.4 | 13.6 |
Hemoglobin on presentation, g/dL | ||
<13 | 22.0 | 19.5 |
13 to <15 | 40.9 | 40.9 |
≥15 | 37.1 | 39.6 |
GRACE index mortality risk score | ||
Low (<109) | 81.4 | 84.4 |
Moderate (109–140) | 15.6 | 13.3 |
High (>140) | 3.0 | 2.3 |
ACTION bleed risk score | ||
Very low | 22.7 | 23.2 |
Low | 56.3 | 57.5 |
Moderate | 17.9 | 16.8 |
High | 2.6 | 2.0 |
Very high | 0.4 | 0.5 |
Well‐being before admission | ||
EQ‐5D visual analog scaleb | 71 (19) | 71 (19) |
EQ‐5D scoresc | ||
Mobility (some problems/confined to bed) | 20.9/1.4 | 18.4/1.5 |
Self‐care (some problems/unable) | 7.3/0.9 | 6.6/0.9 |
Usual activities (some problems/ unable) | 20.9/5.2 | 18.9/4.6 |
Pain (moderate/ extreme) | 31.0/3.4 | 29.7/3.6 |
Anxiety/depression (moderate/extreme) | 24.7/3.1 | 24.2/3.2 |
PHQ‐2 (Depression) | ||
Low (0–2) | 86.4 | 87.4 |
Moderate (3–5) | 10.7 | 9.8 |
High (6) | 2.9 | 2.8 |
Process of care | ||
Prior use of P2Y12 inhibitor | 87.0 | 88.3 |
Transferred from another hospital | 39.9 | 32.9 |
Prasugrel (vs clopidogrel) | 26.1 | 53.4 |
Primary service cardiology/ cardiothoracic surgery | 88.5 | 86.8 |
Specialty of follow‐up provider at discharge | ||
Cardiology | 33.6 | 33.8 |
Internal medicine | 5.0 | 3.3 |
Other | 1.8 | 1.4 |
None | 59.6 | 61.5 |
Hospital characteristicsd | ||
Urban location | 96.4 | 96.8 |
Bed size, No. | ||
<300 | 17.7 | 18.4 |
300 to 499 | 27.6 | 34.0 |
≥500 | 54.7 | 47.5 |
Teaching hospital | 73.4 | 64.6 |
Control | ||
Not‐for‐profit | 83.0 | 85.0 |
For profit | 3.7 | 5.1 |
Government | 13.3 | 9.8 |
Region | ||
Northeast | 15.6 | 14.6 |
Midwest | 37.9 | 35.0 |
South | 32.7 | 34.0 |
West | 13.8 | 16.5 |
Procedure characteristics | ||
Stent use | ||
BMS | 25.9 | 24.7 |
DES | 71.1 | 72.6 |
None | 2.9 | 2.7 |
Femoral access (vs radial) | 88.0 | 87.9 |
No. of vessels dilated | ||
≤1 | 77.9 | 79.4 |
2 | 17.9 | 17.2 |
≥3 | 4.1 | 3.5 |
Successful procedure | 96.1 | 96.6 |
Complications | ||
Bleeding | ||
Hemodynamically unstable | 0.5 | 0.4 |
Transfusion for overt bleeding | 0.2 | 0.2 |
Other | 2.5 | 2.6 |
CABG | 0.3 | 0.2 |
Other surgery | 1.2 | 1.0 |
MI | 0.6 | 0.7 |
Cardiogenic shock | 1.2 | 1.2 |
HF | 1.5 | 1.4 |
Stroke/CVA | 0.1 | <0.1 |
Discharge disposition | ||
Expired | 0.0 | 0.1 |
Home | 98.4 | 98.7 |
Acute care facility | 0.3 | 0.3 |
Nonacute care facility | 1.1 | 0.7 |
Other | 0.2 | 0.2 |
Values are expressed as percentages unless otherwise indicated. ACTION indicates Acute Coronary Treatment and Intervention Outcomes Network; BMS, bare‐metal stent; CABG, coronary artery bypass grafting; CVA, cerebrovascular accident; DES, drug‐eluting stent; EF, ejection fraction; GRACE, Global Registry of Acute Coronary Events; GI/GU, gastrointestinal/genitourinary; HF, heart failure; MI, myocardial infarction; PCI, percutaneous coronary intervention; PHQ‐2, Patient Health Questionnaire‐2; STEMI, ST‐segment–elevation myocardial infarction; TIA, transient ischemic attack.
Excludes 370 patients without follow‐up interviews (including 14 baseline deaths).
Mean (SD).
Excludes missing values (0.4%).
Excludes missing values (0.5%).