Table 1.
Baseline and In-Hospital Characteristics of PAH Admissions Stratified by PCS Use
Characteristic | PCS Use (n = 682) | No PCS Use (n = 29,813) | P Value |
---|---|---|---|
Age, y | 62.2 ± 16.2 | 55.9 ± 17.4 | < .001 |
Female sex | 77.1 | 76.6 | .78 |
Race | < .001 | ||
White | 74.1 | 65.1 | |
Black | 17.9 | 17.8 | |
Othersa | 7.9 | 17.1 | |
Primary payer | < .001 | ||
Medicare | 55.5 | 45.9 | |
Medicaid | 10.7 | 16.5 | |
Private | 31.6 | 31.3 | |
Othersb | 2.2 | 6.3 | |
Weekend admission | 21.6 | 14.3 | < .001 |
Quartile of median household income for zip code | < .001 | ||
0-25th | 16.5 | 23.7 | |
26th-50th | 30.3 | 24.8 | |
51st-75th | 28.9 | 24.7 | |
75th-100th | 24.3 | 26.8 | |
Charlson Comorbidity Index | < .001 | ||
0-3 | 33.1 | 58.3 | |
4-6 | 42.8 | 31.9 | |
≥ 7 | 24.0 | 9.8 | |
Hospital teaching status and location | < .001 | ||
Rural | 2.1 | 7.0 | |
Urban nonteaching | 23.5 | 22.4 | |
Urban teaching | 74.4 | 70.6 | |
Hospital size by no. of beds | < .001 | ||
Small | 7.9 | 12.5 | |
Medium | 18.6 | 14.4 | |
Large | 73.4 | 73.1 | |
Hospital region | < .001 | ||
Northeast | 15.1 | 23.3 | |
Midwest | 27.5 | 19.5 | |
South | 29.1 | 32.7 | |
West | 28.3 | 24.5 | |
Heart failure | 9.5 | 3.7 | < .001 |
Cardiogenic shock | 10.1 | 1.4 | < .001 |
Acute pulmonary embolism | 2.2 | 1.8 | .38 |
Acute noncardiac organ failure | |||
Respiratory | 39.3 | 11.0 | < .001 |
Renal | 40.1 | 13.1 | < .001 |
Hepatic | 1.5 | 1.1 | .36 |
Hematologic | 21.6 | 9.1 | < .001 |
Neurologic | 12.5 | 1.1 | < .001 |
Coronary angiography | 28.9 | 20.8 | < .001 |
Percutaneous coronary intervention | 0.0 | 1.2 | < .001 |
Right heart catheterization | 24.5 | 29.1 | .01 |
Pulmonary artery catheterization (continuous monitoring) | 9.9 | 10.9 | .40 |
Extracorporeal membrane oxygenation | 1.5 | 0.3 | < .001 |
Fiber-optic bronchoscopy | 2.9 | 2.4 | .38 |
Invasive mechanical ventilation | 9.5 | 4.0 | < .001 |
Noninvasive mechanical ventilation | 16.7 | 3.7 | < .001 |
Acute hemodialysis | 2.3 | 0.8 | < .001 |
Data are presented as percentage or mean ± SD unless otherwise indicated. PAH = pulmonary arterial hypertension; PCS = palliative care services.
Hispanic, Asian, Native American, others.
Uninsured, no charge, others.