Table 2.
Characteristics of patients with acute myocardial infarction according to survival and post-discharge acute care use. Unless stated otherwise, numbers represent proportion of patients discharged alive with heart failure
| Alive at day 30 (n=1 455 442) | Deceased at day 30 | |||||
|---|---|---|---|---|---|---|
| Overall (n=114 671) | Readmission (n=34 772) | Observation stay (n=1094) | ED visit (n=9372) | No readmission/ observation/ED (n=69 433) | ||
| Demographics | ||||||
| Mean (SD) age, years | 78.2 (8.1) | 83.8 (8.3) | 82.5 (8.2) | 84.1 (8.4) | 81.5 (8.5) | 84.7 (8.2) |
| Male sex | 52.6 | 47.8 | 50.2 | 50.8 | 53.3 | 45.7 |
| Health conditions | ||||||
| Cardiorespiratory failure and shock (CC 79) | 14.5 | 29.7 | 24.0 | 18.6 | 22.5 | 33.7 |
| Dementia (CC 49, 50) | 17.2 | 38.7 | 30.9 | 36.2 | 32.4 | 43.5 |
| Hemiplegia, paralysis, functional disability (CC 67-69, 100-102, 177, 178) | 5.7 | 10.0 | 9.6 | 8.6 | 9.9 | 10.2 |
| Delirium and encephalopathy (CC 48) |
3.6 | 9.6 | 7.1 | 7.9 | 6.3 | 11.3 |
| Metastatic cancer and acute leukemia (CC 7) | 1.8 | 5.9 | 5.2 | 5.8 | 4.2 | 6.5 |
| Chronic skin ulcer (CC 148, 149) | 7.2 | 14.5 | 14.3 | 13.7 | 14.3 | 14.7 |
| Protein-calorie malnutrition (CC 21) | 5.1 | 15.4 | 13.1 | 13.8 | 12.4 | 17.0 |
| Care patterns | ||||||
| Intensive care unit use | 73.2 | 69.4 | 71.7 | 62.7 | 72.3 | 68.0 |
| Palliative care consultation | 0.8 | 13.7 | 2.1 | 6.1 | 3.5 | 21.0 |
| Major operative procedures | 50.8 | 18.2 | 23.8 | 17.6 | 27.0 | 14.3 |
| Discharge disposition | ||||||
| Skilled nursing facility | 16.6 | 30.7 | 41.0 | 33.7 | 38.4 | 24.4 |
| Hospice | 1.0 | 30.5 | 1.5 | 5.6 | 3.7 | 49.1 |
| Home health care | 16.2 | 10.4 | 18.2 | 20.7 | 16.4 | 5.5 |
| Long term acute care facility | 0.8 | 2.8 | 1.9 | 0.7 | 1.2 | 3.6 |
CC=condition category code; ED=emergency department.