California Cardiac Surgery Intervention Project

Summary of PCI with ACS Model based on California Inpatient and Outpatient Data, 2014-2015

Outcome:Mortality
Mortality includes death during the PCI admission, death during a connected subsequent acute inpatient admission, or death at an emergency department encounter or inpatient re-admission within 30 days of the index PCI Only patients are included who did not leave against medical advice after the PCI admission and who were residents of California at the time of the PCI,
Model Statistics:
Number of Observations: 49,463
% of Observations with Outcome: 4.6%
C-statistic: 0.811Pseudo-R2: 21.5Hosmer-Lemeshow P-Value: 0.000
Model Details:
Risk Factor N Cases % Events Estimate Standard Error Wald Chi2 P-value Odds Ratio (OR) Lower 95% CL for OR Upper 95% CL for OR
Intercept
-4.2
0.1
2537.1
0.000
Age at Admission18-<50
6,407
2.2
-0.6
0.1
23.6
0.000
0.6
0.5
0.7
50-<55
4,175
2.8
-0.3
0.1
8.1
0.004
0.7
0.6
0.9
55-<60
6,807
2.9
-0.4
0.1
12.5
0.000
0.7
0.6
0.9
60-<65
7,282
3.8
-0.1
0.1
1.4
0.244
0.9
0.8
1.1
65-<70
6,949
4.8
Reference
70-<75
5,726
5.4
0.1
0.1
2.8
0.097
1.2
1.0
1.4
75-<80
4,722
5.6
0.1
0.1
2.1
0.144
1.1
1.0
1.4
80 or older
7,395
8.6
0.6
0.1
52.0
0.000
1.8
1.5
2.1
Patient SexMale
34,567
4.1
Reference
Female
14,896
5.7
0.2
0.1
11.3
0.001
1.2
1.1
1.3
Patient RaceWhite
27,790
4.5
Reference
Non-White
21,673
4.7
0.2
0.0
11.2
0.001
1.2
1.1
1.3
Acute MI Present at Scheduled Admission
5,914
2.4
-0.2
0.1
3.6
0.058
0.8
0.7
1.0
Atrial Fibrillation and Flutter
5,490
8.8
0.3
0.1
29.8
0.000
1.4
1.2
1.6
Cardiogenic Shock
2,963
30.4
2.5
0.1
2203.3
0.000
12.3
11.1
13.6
Cardiomyopathy
2,158
6.9
0.0
0.1
0.0
0.850
1.0
0.8
1.2
Heart Failure
11,452
8.5
0.3
0.1
32.6
0.000
1.4
1.2
1.5
HX Sudden Cardiac Arrest (Begin 2007)
292
14.2
1.0
0.2
23.9
0.000
2.6
1.8
3.8
Chronic Lung Disease
4,535
6.9
0.2
0.1
10.3
0.001
1.3
1.1
1.4
Cerebrovascular Disease
1,979
7.7
0.3
0.1
9.3
0.002
1.3
1.1
1.6
Diabetes
19,200
5.2
0.1
0.1
1.9
0.173
1.1
1.0
1.2
Dialysis
762
8.4
0.4
0.1
8.0
0.005
1.5
1.1
2.0
Peripheral Vascular Disease
5,172
6.3
0.1
0.1
1.4
0.239
1.1
0.9
1.2
Renal Failure
9,555
7.8
0.5
0.1
63.9
0.000
1.6
1.4
1.8
Status of Procedure Urgent
22,339
6.1
0.6
0.1
118.1
0.000
1.8
1.6
2.0
Notes:
If a patient had more than one surgery event of the same type on different dates during the index admission, only the surgery on the earliest date is included for fitting the model.
CL: Confidence Limit
N Cases % Events Estimate Standard Error Wald Chi2 P-Value Odds Ratio (OR) Lower 95% CL for OR Upper 95% CL for OR
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