Table 4.
Mixed effects logistic regression results for clinical outcomes over 7 years
| Outcome∗ | Median billing quintile (ref: quintile 2) | CAD |
HF |
||
|---|---|---|---|---|---|
| Adjusted OR (95% CI) | P value† | Adjusted OR (95% CI) | P value† | ||
| All-cause mortality in one year‡ | 1 | 1.16 (1.03-1.31) | 0.01 | 1.09 (0.99-1.21) | 0.08 |
| 3 | 1.05 (0.94-1.18) | 0.35 | 1.00 (0.92-1.10) | 0.93 | |
| 4 | 1.04 (0.93-1.16) | 0.49 | 0.98 (0.90-1.08) | 0.72 | |
| 5 | 1.01 (0.90-1.14) | 0.85 | 0.92 (0.83-1.01) | 0.08 | |
| At least 1 non-elective admission in one year | 1 | 1.05 (0.98-1.11) | 0.14 | 0.99 (0.94-1.05) | 0.86 |
| 3 | 1.00 (0.94-1.05) | 0.87 | 1.02 (0.97-1.08) | 0.37 | |
| 4 | 0.98 (0.93-1.04) | 0.54 | 0.94 (0.89-0.99) | 0.02 | |
| 5 | 0.99 (0.94-1.06) | 0.84 | 0.98 (0.92-1.04) | 0.43 | |
| At least 1 acute MI admission in one year | 1 | 0.96 (0.85-1.08) | 0.49 | 1.05 (0.97-1.14) | 0.25 |
| 3 | 0.97 (0.87-1.09) | 0.61 | 1.01 (0.94-1.09) | 0.75 | |
| 4 | 0.97 (0.86-1.09) | 0.57 | 0.95 (0.88-1.03) | 0.19 | |
| 5 | 0.97 (0.86-1.10) | 0.67 | 0.99 (0.91-1.08) | 0.85 | |
| At least 1 ED visit or admission due to CVD in one year | 1 | 1.00 (0.95-1.06) | 0.90 | 0.96 (0.91-1.02) | 0.21 |
| 3 | 1.00 (0.95-1.06) | 0.86 | 1.04 (0.98-1.10) | 0.16 | |
| 4 | 0.97 (0.92-1.03) | 0.29 | 0.96 (0.91-1.02) | 0.17 | |
| 5 | 1.00 (0.94-1.06) | 0.90 | 1.00 (0.95-1.06) | 0.92 | |
CAD, coronary artery disease; CI, confidence interval; CVD, cardiovascular disease; ED, emergency department; HF, heart failure; MI, myocardial infarction; OR, odds ratio.
Analyses are adjusted for year, patient, and physician characteristics.
A 2-tailed P value of < 0.05 was considered statistically significant.
All-cause mortality outcome measured 1 year from index date only.