Variable | Adjusted odds ratio | (95% CI) | Adjusted coefficient | (SE) | Adjusted hazard ratio | (95% CI) |
---|---|---|---|---|---|---|
Clinical factors | ||||||
Patient demographics | ||||||
Age at index date > 75 vs. ≤75 (y) | 1.10 | (1.08–1.12)‡ | −0.026 | (0.002)‡ | 1.11 | (1.09–1.13)‡ |
Female vs. male | 0.96 | (0.95–0.98)† | 0.007 | (0.002)‡ | 1.00 | (0.99–1.02) |
Previous statin use | ||||||
Used one year prior to ASCVD | 0.72 | (0.71–0.74)‡ | 0.069 | (0.002)‡ | 0.89 | (0.86–0.93)‡ |
Used during hospitalization | 0.93 | (0.91–0.95)‡ | 0.015 | (0.002)‡ | 0.74 | (0.72–0.75)‡ |
Diagnosis of ASCVD events | ||||||
Ischemic stroke | Ref. | (0.98–1.07) | Ref. | Ref. | ||
AMI without PTCA/CABG | 1.03 | (0.63–0.67)‡ | 0.002 | (0.004) | 1.06 | (1.02–1.11)† |
AMI receiving revascularization | 0.65 | (0.69–0.73)‡ | 0.087 | (0.003)‡ | 0.69 | (0.67–0.71)‡ |
CHD receiving revascularization | 0.71 | (0.98–1.07) | 0.075 | (0.003)‡ | 0.71 | (0.69–0.73)‡ |
Comorbidities one year before ASCVD | ||||||
Renal disease | 1.29 | (1.25–1.33)‡ | −0.043 | (0.003)‡ | 1.21 | (1.17–1.24)‡ |
Liver disease | 1.10 | (1.07–1.14)‡ | −0.013 | (0.003)‡ | 1.09 | (1.06–1.12)‡ |
Depression | 1.10 | (1.06–1.14)‡ | −0.015 | (0.004)‡ | 1.09 | (1.06–1.12)‡ |
COPD | 1.07 | (1.04–1.10)‡ | −0.012 | (0.003)† | 1.07 | (1.04–1.09)‡ |
Dementia | 1.06 | (1.01–1.12) | −0.018 | (0.005)† | 1.05 | (1.00–1.10)† |
Transient ischemic attack | 0.99 | (0.95–1.03) | 0.002 | (0.004) | 1.01 | (0.97–1.05) |
Ischemic heart disease | 0.99 | (0.97–1.01) | 0.004 | (0.002)† | 0.98 | (0.96–1.00) |
Cancer | 1.00 | (0.96–1.03) | 0.004 | (0.003)† | 0.98 | (0.95–1.01) |
Hyperlipidemia | 0.93 | (0.91–0.95)‡ | 0.022 | (0.002)‡ | 0.93 | (0.91–0.95)‡ |
Medications one year before ASCVD | ||||||
Insulin | 1.15 | (1.12–1.18)‡ | −0.020 | (0.002)‡ | 1.11 | (1.08–1.13)‡ |
Digitalis | 1.12 | (1.08–1.17)‡ | −0.022 | (0.004)‡ | 1.10 | (1.06–1.15)‡ |
OADs | 1.05 | (1.03–1.07)‡ | −0.007 | (0.002)‡ | 1.09 | (1.07–1.11)‡ |
ACEIs | 1.05 | (1.03–1.07)‡ | −0.009 | (0.002)‡ | 1.05 | (1.03–1.07)‡ |
Diuretics | 1.05 | (1.03–1.07)‡ | −0.011 | (0.002)‡ | 1.05 | (1.03–1.07)‡ |
CCBs | 1.02 | (1.00–1.04) | −0.003 | (0.002) | 1.04 | (1.03–1.06)‡ |
Anticoagulants | 0.99 | (0.96–1.02) | 0.003 | (0.003) | 0.95 | (0.93–0.98)‡ |
β-blockers | 0.95 | (0.93–0.96)‡ | 0.008 | (0.002)‡ | 0.97 | (0.95–0.98)‡ |
ARBs | 0.95 | (0.93–0.97)‡ | 0.008 | (0.002)‡ | 0.96 | (0.94–0.97)‡ |
Antiplatelet agents | 0.94 | (0.92–0.96)‡ | 0.010 | (0.002)‡ | 0.93 | (0.92–0.95)‡ |
Index statin used | ||||||
Dosage: moderate vs. low | 0.96 | (0.94–0.97)‡ | 0.010 | (0.002)‡ | 0.95 | (0.93–0.96)‡ |
Dosage: high vs. low | 1.03 | (0.98–1.07) | 0.000 | (0.004) | 0.97 | (0.94–1.01) |
High potency vs. others | 0.91 | (0.89–0.93)‡ | 0.020 | (0.002)‡ | 0.92 | (0.90–0.94)‡ |
Healthcare provider factors | ||||||
Accreditation level of statin prescribing healthcare organization | ||||||
Primary care clinic | Ref. | Ref. | Ref. | |||
District hospital | 0.88 | (0.83–0.93)‡ | −0.003 | (0.006) | 0.85 | (0.81–0.90)‡ |
Regional hospital | 0.78 | (0.74–0.83)‡ | 0.020 | (0.006)‡ | 0.82 | (0.78–0.86)‡ |
Medical center | 0.60 | (0.56–0.63)‡ | 0.070 | (0.006)‡ | 0.61 | (0.58–0.64)‡ |
Other hospital | 0.76 | (0.71–0.82)‡ | 0.033 | (0.007)‡ | 0.80 | (0.75–0.86)‡ |
Geographic location of statin prescribing healthcare organization | ||||||
Eastern region | Ref. | Ref. | Ref. | |||
Taipei region | 0.90 | (0.86–0.94)‡ | 0.037 | (0.004)‡ | 0.89 | (0.86–0.93)‡ |
Northern region | 0.87 | (0.82–0.91)‡ | 0.030 | (0.005)‡ | 0.87 | (0.83–0.91)‡ |
Central region | 1.00 | (0.95–1.05) | −0.001 | (0.004) | 0.97 | (0.92–1.01) |
Southern region | 0.83 | (0.79–0.87)‡ | 0.044 | (0.004)‡ | 0.81 | (0.77–0.84)‡ |
Kao-Ping region | 0.84 | (0.80–0.88)‡ | 0.033 | (0.004)‡ | 0.84 | (0.81–0.88)‡ |
Specialty of statin prescribing physician | ||||||
Others (exclude all below) | Ref. | Ref. | Ref. | |||
Cardiovascular medicine | 0.53 | (0.50–0.56)‡ | 0.109 | (0.006)‡ | 0.62 | (0.59–0.65)‡ |
Cardiovascular surgery | 0.53 | (0.49–0.57)‡ | 0.107 | (0.007)‡ | 0.65 | (0.61–0.69)‡ |
Metabolism and Endocrinology | 0.59 | (0.55–0.63)‡ | 0.115 | (0.006)‡ | 0.58 | (0.55–0.62)‡ |
Neurology | 0.68 | (0.65–0.72)‡ | 0.065 | (0.006)‡ | 0.80 | (0.76–0.84)‡ |
Internal medicine | 0.77 | (0.73–0.82)‡ | 0.040 | (0.006)‡ | 0.89 | (0.85–0.93)‡ |
Family medicine | 0.84 | (0.77–0.92)‡ | 0.020 | (0.008) | 0.92 | (0.86–0.99)† |
Year of index statin prescription | ||||||
2006 | Ref. | Ref. | Ref. | |||
2007 | 0.89 | (0.86–0.91)‡ | 0.024 | (0.003)‡ | 0.91 | (0.89–0.94)‡ |
2008 | 0.83 | (0.81–0.85)‡ | 0.036 | (0.003)‡ | 0.86 | (0.84–0.88)‡ |
2009 | 0.76 | (0.74–0.78)‡ | 0.048 | (0.003)‡ | 0.80 | (0.78–0.82)‡ |
2010 | 0.72 | (0.70–0.74)‡ | 0.055 | (0.003)‡ | 0.75 | (0.73–0.77)‡ |
2011 | 0.69 | (0.67–0.71)‡ | 0.059 | (0.003)‡ | 0.73 | (0.71–0.75)‡ |
2012 | 0.49 | (0.47–0.51)‡ | 0.100 | (0.003)‡ | 0.69 | (0.66–0.72)‡ |