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Table 3 Characteristics Associated with Inpatient Mortality from Cardiovascular Disease after Kidney Transplantation

From: Factors associated with adverse outcomes from cardiovascular events in the kidney transplant population: an analysis of national discharge data, hospital characteristics, and process measures

Variable Comparison Model 1: Transplant Hospital Only Model 2: Transplant Hospital + Patient Characteristics Model 3: Transplant Hospital + Patient Characteristics + Hospital Characteristics
OR 95% CI p-value OR 95% CI p-value OR 95% CI p-value
Transplant hospital Transplant vs. Non-transplant 0.81 0.60 1.09 0.16 0.72 0.48 1.08 0.11 0.98 0.50 1.91 0.94
Patient-level Characteristics
Age ≥60 vs. < 60      2.28 1.53 3.4 < 0.001 2.29 1.37 3.85 0.002
 Race Non-white vs. White      0.62 0.39 0.99 0.04 0.49 0.26 0.9 0.02
 Sex Female vs. Male      0.69 0.47 1.02 0.06 0.59 0.37 0.92 0.02
 Type of admission Emergent/Urgent vs. Elective/Others      1.37 0.73 2.56 0.33 1.5 0.69 3.26 0.30
 Admitted to high transfer in hospital Yes vs. No      1.52 1.02 2.27 0.04 1.76 1.01 3.05 0.05
 Number of CV diagnosis ≥2 vs. 1      2.09 1.44 3.03 < 0.001 1.73 1.08 2.78 0.02
 Weighted Charlson score ≥2 vs. 0–1      1.37 0.89 2.12 0.16 1.06 0.63 1.81 0.82
 Hypertension Yes vs. No      1.11 0.64 1.93 0.71 1.26 0.61 2.57 0.53
 Tobacco abuse Yes vs. No      0.39 0.09 1.68 0.21 0.24 0.03 2.05 0.19
 Dyslipidemia Yes vs. No      0.48 0.31 0.75 0.001 0.58 0.35 0.98 0.04
 Diabetes mellitus Yes vs. No      0.46 0.31 0.66 < 0.001 0.4 0.25 0.64 < 0.001
Invasive CV procedure              
 Diagnostic Cardiac catheterization Yes vs. No      2.60 1.76 3.84 < 0.001 2.1 1.32 3.36 0.002
 Therapeutic cardiac catheterization Yes vs. No      0.22 0.07 0.67 0.008 0.35 0.1 1.17 0.09
 CABG Yes vs. No      0.23 0.06 0.93 0.04 0.35 0.07 1.65 0.18
 Valve surgery Yes vs. No      0.51 0.12 2.12 0.35 0.38 0.07 1.95 0.25
 Other cardiac surgery Yes vs. No      2.94 0.79 11.01 0.11 1.26 0.2 7.88 0.81
Hospital-level Characteristics
 Owner, Financial status, Payer Mix
  Hospital total expenses by quartile 2 vs. 1          1.45 0.64 3.27 0.38
  3 vs. 1          0.52 0.16 1.68 0.28
  4 vs. 1          0.26 0.07 0.97 0.05
 Inpatient Capacity              
  Hospital unit inpatient days by quartile 2 vs. 1          0.53 0.21 1.3 0.16
  3 vs. 1          1.02 0.34 3.11 0.97
  4 vs. 1          4.26 1.2 15.21 0.03
  Cardiac intensive care Yes vs. No          1.75 0.78 3.91 0.18
 Staffing Patterns
  Teaching status Minor teaching vs. Nonteaching          0.65 0.37 1.15 0.14
  Major teaching vs. Nonteaching          0.32 0.16 0.65 0.002
 Process of Care for Heart Attack              
  Aspirin at arrival Per 5% increase          2.28 0.58 9.07 0.24
  Time to ECG Per 20 min increase          0.98 0.81 1.19 0.85
QIC 1758.36 1095.68 736.47