Author + information
- Farid Gholitabar,
- Carlos Gongora,
- Shawn Lee,
- Alejandro Lemor,
- Abel Casso Dominguez and
- Eyal Herzog
Background: There have been no studies looking at the type of insurance utilized by patients in Non-ST-segment Elevation Myocardial infarction (NSTEMI). The aim of this study was to look at insurance as an independent risk factor in outcome of NSTEMI patients.
Methods: This was a retrospective cohort study using the 2013 National Inpatient Sample. The inclusion criteria were age older than 65 years and ICD-9 CM code for diagnosis of NSTEMI. The primary outcome was in-hospital mortality. The secondary outcomes were total hospital charges, length of hospital stay (LOS), percutaneous coronary intervention (PCI) and early PCI (first 48 hours of admission). Multivariate regression analysis models controlled for: age, race, Charlson Comorbidity Index, rural location and hospital region. Independent risk factor was Medicare/Medicaid (group 1) vs private insurance (group 2).
Results: 257,510 patients with primary diagnosis of NSTEMI were included in the study. The mean age was 77.5 years and 46.14% of the patients were female. Patients in group 1 had lower odds of in-hospital mortality but had higher mean total charge to the hospital. The LOS, adjusted odds of receiving PCI and early PCI was the same between the two groups.
Conclusions: Patients utilizing Medicare/Medicaid and NSTEMI have lower adjusted odds of mortality compared to patients using private insurance. These patients incurred higher costs to the hospital with approximately similar length of stay and same odds of receiving PCI and early PCI.
Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Cardiac Arrest, Diabetes, and Other High Risk Features of Patients With Acute Coronary Syndrome
Abstract Category: 2. Acute and Stable Ischemic Heart Disease: Clinical
Presentation Number: 1204-342
- 2017 American College of Cardiology Foundation