Table 2. Aspirin Use, Statin Use, and Statin Adherence Among Patients With Premature ASCVD.
Variable | No. (%) | Adjusted OR or β coefficient (95% CI)c | P value | |
---|---|---|---|---|
Patients with premature ASCVD (n = 135 703)a | Patients with nonpremature ASCVD (n = 1 112 455)b | |||
Aspirin used | 96 468 (71.1) | 860 726 (77.4) | 0.69 (0.68 to 0.70)d | <.001 |
Statin use | ||||
Any | 98 908 (72.9) | 894 931 (80.5) | 0.70 (0.69 to 0.71)c | <.001 |
High-intensity | 49 354 (36.4) | 332 820 (29.9) | 1.37 (1.35 to 1.39)c | <.001 |
Statin PDC | ||||
≥0.8 | 57 306 (57.9) | 644 357 (72.0) | 0.56 (0.55 to 0.57)c | <.001 |
Mean (SD) | 0.71 (0.32) | 0.80 (0.29) | −0.083 (−0.084 to −0.081) | <.001 |
Abbreviations: ASCVD, atherosclerotic cardiovascular disease; OR, odds ratio; PDC, proportion of days covered.
Patients with premature ASCVD were those who experienced their first ASCVD event before age 55 years for men and before age 65 years for women.
Patients with nonpremature ASCVD were those who experienced their first ASCVD event at age 55 years or older for men and age 65 years or older for women.
Adjusted for sex, race/ethnicity, obesity (body mass index ≥30 [calculated as weight in kilograms divided by height in meters squared]), hypertension, diabetes, type of ASCVD (ischemic heart disease vs peripheral arterial disease vs ischemic cerebrovascular disease), clinician type (physician vs advanced practice practitioner), teaching vs nonteaching facility, urban vs rural facility, number of cardiology visits 12 months before index primary care physician (PCP) visit, median number of PCP visits 12 months before index PCP visit, median number of days from first ASCVD event to the index PCP visit, and Diagnostic Cost Group relative risk score.
Regression model for aspirin use was adjusted for nonaspirin platelet use and anticoagulant use in addition to all of the aforementioned covariates.