Summary of PCI with ACS Model based on California Inpatient and Outpatient Data, 2020-2021
Outcome: MACCE-90 (Multiple Adverse Cardiovascular and Cerebral Events within 90 Days of PCI)
This outcome is determined based on the occurrence of 1 or more of the following events within 90 days of the PCI date: All events are weighted equally.
Only patients are included who did not leave against medical advice, who were residents of California at the time of the PCI, and who had PCI prior to 2021-10-02.
Model Statistics:
Number of Observations: 47,504
% of Observations with Outcome: 10.4%
C-statistic: 0.742
Pseudo-R2: 15.0
Hosmer-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-3.20.12963.90.000
Age at Admission18-<50 4,9036.9-0.30.111.70.0010.80.70.9
50-<554,1277.4-0.20.17.50.0060.80.70.9
55-<605,9858.0-0.10.13.20.0760.90.81.0
60-<657,1249.50.00.10.00.8311.00.91.1
65-<706,7339.9Reference
70-<756,37910.90.00.10.60.4301.10.91.2
75-<805,01912.60.20.16.70.0101.21.01.3
80 or older7,23415.80.40.153.70.0001.51.41.7
Patient SexMale 33,8939.7Reference
Female13,61112.00.10.04.40.0361.11.01.2
Patient RaceWhite 23,7519.7Reference
Non-White23,75311.10.20.023.90.0001.21.11.3
Underweight / Weight Loss1,10727.40.80.1114.30.0002.32.02.7
Acute MI Present at Scheduled Admission3,4636.1-0.30.19.90.0020.80.70.9
Atrial Fibrillation and Flutter6,56016.10.20.019.60.0001.21.11.3
Cardiogenic Shock3,42436.21.70.01498.80.0005.55.06.0
Cardiomyopathy2,02115.80.10.12.20.1381.11.01.3
Heart Failure15,43816.50.50.0184.80.0001.61.51.8
HX Sudden Cardiac Arrest (Begin 2007)26315.60.30.22.90.0861.41.02.0
Chronic Lung Disease3,73213.70.10.15.60.0171.11.01.3
Cerebrovascular Disease1,96816.00.30.118.50.0001.31.21.5
Diabetes20,39813.30.40.0117.60.0001.51.41.6
Dialysis10015.1-0.10.30.20.6890.90.51.6
Peripheral Vascular Disease4,15412.80.00.10.50.4681.00.91.2
Renal Failure10,58416.40.30.078.50.0001.41.31.5
Status of Procedure Urgent22,39611.70.40.0102.30.0001.41.31.5
Notes:
If a patient had more than one intervention event of the same type on different dates during the index admission, only the intervention on the earliest date is included for fitting the model.
CL: Confidence Limit