Determinants of in-hospital mortality and hospitalisation costs
Dependent variables | In-hospital mortality | Hospitalisation costs | |||
---|---|---|---|---|---|
Model 1 | Model 2 | Model 1 | Model 2 | Model 3 | |
Independent variables | OR | Unstandardised coefficients (US$) | |||
Patient characteristics | |||||
Women (reference category: men) | 0.923 | 1.017 | −205 | −109 | 36 |
Age (reference category: 20–59 years) | |||||
60–69 years | 1.334 | 1.307 | 313 | 222 | 250 |
70–79 years | 2.257*** | 2.661*** | −189 | −60 | 18 |
80–89 years | 4.146*** | 6.009*** | −1181*** | −827*** | −454* |
≥90 years | 7.086*** | 12.751*** | −2027*** | −1400*** | −678** |
Route of admission (reference category: scheduled) | |||||
Emergency with ambulance use | 1.185* | 0.891 | 1201*** | 772*** | 521*** |
Emergency without ambulance use | 0.916 | 0.807* | 530*** | 422** | 276* |
NYHA functional class (reference category: class II) | |||||
Class III | 2.121*** | 2.011*** | 608*** | 467*** | 494*** |
Class IV | 6.812*** | 5.929*** | 1121*** | 727*** | 635*** |
Comorbidities | |||||
Hypertension | 0.307*** | 0.32*** | −200 | 61 | −120 |
Ischaemic heart disease | 0.573*** | 0.522*** | 1520*** | 1484*** | 409*** |
Atrial fibrillation/flutter | 0.561*** | 0.604*** | −145 | 333** | 457*** |
Fatal arrhythmia | 1.637** | 1.081 | 5635*** | 4597*** | 4547*** |
Shock | 3.058*** | 1.189 | 3335*** | −584 | −412 |
Postadmission treatments indicating disease severity | |||||
Disease severity classes† (reference category: no target treatments provided) | |||||
Catecholamine use only | – | 5.543*** | – | 1740*** | 1565*** |
Intubation with no catecholamine use | – | 12.699*** | – | 1253* | 1162* |
Intubation or catecholamine use | – | 20.966*** | – | 1681*** | 1610*** |
Intra-aortic balloon pumping‡ | – | 8.062*** | – | 22 628*** | 13 854*** |
Percutaneous cardiopulmonary support§ | – | 42.048*** | – | 15 421*** | 8360*** |
Dialysis-related procedures | – | 1.729*** | – | 2739*** | 2117*** |
Blood transfusion | – | 1.383** | 4186*** | 3884*** | |
Other postadmission high-cost examinations and treatments | |||||
Percutaneous coronary intervention | – | – | – | – | 13 842*** |
Scintigraphy | – | – | – | – | 3683*** |
Single-photon emission CT | – | – | – | – | 3324*** |
C-statistics (95% CIs) | 0.805 | 0.870 | – | – | – |
(0.794–0.815) | (0.862–0.879) | ||||
R2 | – | – | 0.044 | 0.178 | 0.320 |
Model 1: independent variables included only patient characteristics and condition on admission; model 2: independent variables included postadmission treatments that may indicate disease severity in addition to those of model 1; model 3: independent variables included other high-cost examinations and treatments in addition to those of model 2.
***p<0.001; **p<0.01; *p<0.05.
†These six disease-severity classes are based on hierarchical and mutually exclusive combinations.
‡Regardless of intubation or catecholamine use.
§Regardless of intra-aortic balloon pumping, intubation or catecholamine use.
NYHA, New York Heart Association.