CCSIP

This outcome is determined based on the occurrence of 1 or more of the following events within 90 days of the PCI date:

Death during the PCI admission or during an emergency department encounter or inpatient re-admission within 90 days of the PCI; IP disposition code (prior 2015) '11' or (2015 or later) '20' is used to identify in-hospital deaths; disposition code '20' is used to identify ED 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 within 90 days of PCI; 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 within 90 days of PCI; 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.
Re-Intervention defined as any cardiac surgery / intervention during the index PCI admission that occurred at least 1 day after the index PCI or a cardiac surgery / intervention during an inpatient re-admission within 90 days of PCI The following situations are considered 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) or TAVR (ICD-9-PCS: 35.05, 35.06, ICD-10-PCS: 02RF3xx, X2RF3xx). 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).

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.

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				-3.3	0.1	2584.7	0.000
Age at Admission	18-<50	1,747	7.3	-0.1	0.1	0.6	0.450	0.9	0.7	1.1
	50-<55	2,048	6.9	-0.1	0.1	0.7	0.412	0.9	0.7	1.1
	55-<60	3,468	7.3	0.0	0.1	0.1	0.741	1.0	0.8	1.2
	60-<65	5,007	6.5	-0.2	0.1	5.0	0.025	0.8	0.7	1.0
	65-<70	5,983	7.9				Reference
	70-<75	5,810	7.5	-0.1	0.1	2.2	0.142	0.9	0.8	1.0
	75-<80	4,949	9.0	0.1	0.1	0.6	0.426	1.1	0.9	1.2
	80 or older	6,096	9.6	0.0	0.1	0.3	0.575	1.0	0.9	1.2
Patient Sex	Male	25,545	7.2				Reference
	Female	9,563	9.9	0.3	0.0	40.1	0.000	1.3	1.2	1.5
Patient Race	White	19,796	7.2				Reference
	Non-White	15,312	8.8	0.1	0.0	11.2	0.001	1.2	1.1	1.3
Underweight / Weight Loss		537	31.8	1.3	0.1	149.0	0.000	3.6	2.9	4.4
Atrial Fibrillation and Flutter		5,735	11.7	0.2	0.1	19.9	0.000	1.3	1.1	1.4
Cardiogenic Shock		335	43.2	1.8	0.1	196.9	0.000	5.9	4.6	7.5
Cardiomyopathy		1,840	10.2	-0.2	0.1	4.6	0.032	0.8	0.7	1.0
Heart Failure		9,771	14.0	0.7	0.0	231.8	0.000	2.1	1.9	2.3
Chronic Lung Disease		2,916	11.4	0.1	0.1	3.8	0.052	1.1	1.0	1.3
Cerebrovascular Disease		1,636	12.2	0.3	0.1	12.9	0.000	1.4	1.1	1.6
Diabetes		15,437	9.8	0.2	0.0	25.5	0.000	1.3	1.2	1.4
Dialysis		44	57.0	1.9	0.3	33.7	0.000	6.9	3.6	13.2
Peripheral Vascular Disease		3,653	10.3	0.1	0.1	4.7	0.030	1.1	1.0	1.3
Renal Failure		7,571	13.8	0.5	0.0	97.3	0.000	1.6	1.5	1.8
Status of Procedure Urgent		3,044	10.3	0.4	0.1	34.7	0.000	1.5	1.3	1.7

Summary of PCI without ACS Model based on California Inpatient and Outpatient Data, 2020-2021