CCSIP

This outcome is determined based on the occurrence of 1 or more of the following events after the Index PCI or a Subsequent Connected Inpatient Admission:

Death during the PCI admission or during an inpatient re-admission connected to the index admission via acute transfer; IP disposition code (prior 2015) '11' or (2015 or later) '20' is used to identify in-hospital deaths.
Post OP Myocardial Infarction (MI) defined as MI during the PCI admission that was not present at admission or an MI during an inpatient re-admission connected to the PCI admission via acute transfer; ICD-9-CM codes used to identify MIs: 410.xx. ICD-10-CM codes used to identify MIs: I21.0x, I21.1x, I21.2x, I21.3, I22.0, I22.1, I22.8, I22.9, I21.4, I22.2.
Post OP Stroke defined as stroke during the PCI admission that was not present at admission or stroke during an inpatient re-admission connected to the PCI admission via acute transfer; ICD-9-CM codes used to identify Strokes: 997.02, 433.01, 433.11, 433.21, 433.31, 433.81, 433.91, 434.01, 434.11, 434.91. ICD-10-CM codes used to identify Strokes: I63.xx, G97.31, G97.32, I97.81x, I97.82x.
Unplanned re-intervention during the index admission that occurred greater than 30 days or later after the date of the index PCI counting the date of the index PCI as day 1 or during a connected non-elective acute admission. The following situations are considered unplanned re-interventions: Any procedure in the ICD-9-PCS range 35.xx-38.xx or ICD-10-PCS 02xxxxx that was performed using ECC (ICD-9-PCS code: 39.61, ICD-10-PCS codes: 5A1221Z) or off-pump CABG procedure (ICD-9-PCS: 36.1x, ICD-10-PCS: 0210xxx, 0211xxx, 0212xxx, 0213xxx). Any PCI (ICD-9-PCS for IP data: 36.01, 36.02, 36.05, 36.06, 36.09, 00.66; ICD-10-PCS for IP data: 02703xx, 02713xx, 02723xx, 02733xx, 02C03xx, 02C13xx, 02C23xx, 02C33xx, X2C03xx, X2C13xx, X2C23xx, X2C33xx, 02704xx, 02714xx, 02724xx, 02734xx, 02C04xx, 02C14xx, 02C24xx, 02C34xx, X2C04xx, X2C14xx, X2C24xx, X2C34xx; CPT codes for ED data for 2012 or earlier: 92980, 92981, 92982, 92983, 92984, 92995, 92996; CPT codes for ED data for 2013: 92920, 92921, 92924, 92925, 92928, 92929, 92933, 92934, 92937, 92938, 92941, 92943, 92944). Non-elective encounters are unscheduled inpatient admissions or emergency department encounters.

All events are weighted equally.

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				-4.1	0.1	3325.3	0.000
Age at Admission	18-<50	5,787	3.4	-0.4	0.1	20.9	0.000	0.7	0.5	0.8
	50-<55	4,825	4.1	-0.3	0.1	9.5	0.002	0.7	0.6	0.9
	55-<60	6,990	4.2	-0.2	0.1	8.1	0.004	0.8	0.7	0.9
	60-<65	8,365	5.1	-0.1	0.1	1.0	0.311	0.9	0.8	1.1
	65-<70	7,938	5.7				Reference
	70-<75	7,412	7.0	0.2	0.1	7.2	0.007	1.2	1.1	1.4
	75-<80	5,871	7.5	0.2	0.1	8.1	0.004	1.2	1.1	1.4
	80 or older	8,399	10.2	0.5	0.1	64.8	0.000	1.7	1.5	2.0
Patient Sex	Male	39,714	5.6				Reference
	Female	15,873	7.3	0.1	0.0	9.8	0.002	1.1	1.1	1.2
Patient Race	White	27,700	5.7				Reference
	Non-White	27,887	6.5	0.1	0.0	9.3	0.002	1.1	1.0	1.2
Underweight / Weight Loss		1,301	18.8	0.9	0.1	115.6	0.000	2.5	2.1	2.9
Acute MI Present at Scheduled Admission		3,957	2.8	-0.3	0.1	7.2	0.007	0.7	0.6	0.9
Atrial Fibrillation and Flutter		7,667	10.3	0.2	0.0	12.9	0.000	1.2	1.1	1.3
Cardiogenic Shock		4,023	32.4	2.2	0.0	2613.8	0.000	9.5	8.7	10.3
Cardiomyopathy		2,364	9.9	0.1	0.1	3.2	0.075	1.2	1.0	1.3
Heart Failure		18,181	10.2	0.5	0.0	120.8	0.000	1.6	1.5	1.7
HX Sudden Cardiac Arrest (Begin 2007)		306	11.8	0.5	0.2	7.1	0.008	1.7	1.1	2.5
Chronic Lung Disease		4,390	7.3	0.0	0.1	0.0	0.873	1.0	0.9	1.1
Cerebrovascular Disease		2,302	10.7	0.5	0.1	35.2	0.000	1.6	1.4	1.8
Diabetes		23,790	7.5	0.2	0.0	34.7	0.000	1.3	1.2	1.4
Dialysis		112	6.3	-0.3	0.4	0.4	0.529	0.8	0.4	1.7
Peripheral Vascular Disease		4,862	7.8	0.1	0.1	2.7	0.098	1.1	1.0	1.3
Renal Failure		12,339	9.6	0.3	0.0	45.2	0.000	1.4	1.2	1.5
Status of Procedure Urgent		26,187	7.7	0.5	0.0	163.6	0.000	1.7	1.6	1.9

Summary of PCI with ACS Model based on California Inpatient and Outpatient Data, 2020-2021