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Table 1 Patient Characteristics by Principal vs Secondary Diagnosis (N = 1500)

From: Mineralocorticoid receptor antagonist use after hospitalization of patients with heart failure and post-discharge outcomes: a single-center retrospective cohort study

 

Total N = 1500

Principal HF Hospitalization N = 407

Secondary HF Hospitalization N = 1093

p-value

Demographics

 Age, Mean ± SD

71.9 ± 13.6

71.8 ± 13.6

71.9 ± 13.6

0.88

 Female, n (%)

443 (29.5%)

110 (27.0%)

333 (30.5%)

0.19

 Black

227 (15.1%)

87 (21.4%)

140 (12.8%)

<0.0001

 Hispanic

97 (6.5%)

30 (7.4%)

67 (6.1%)

0.38

Comorbid conditions

 Hypertension

1151 (76.7%)

331 (81.3%)

820 (75.0%)

0.01

 Atrial fibrillation

792 (52.8%)

211 (51.8%)

581 (53.2%)

0.65

 Diabetes mellitus

617 (41.1%)

194 (47.7%)

423 (38.7%)

0.002

 Chronic kidney disease

511 (34.1%)

164 (40.3%)

347 (31.8%)

0.002

 Malignancy

325 (21.7%)

95 (23.3%)

230 (21.4%)

0.34

 COPD

244 (16.3%)

81 (19.9%)

163 (14.9%)

0.02

 Myocardial infarction

241 (16.1%)

41 (10.1%)

200 (18.3%)

0.0001

 Cerebrovascular disease

204 (13.6%)

57 (14.0%)

147 (13.5%)

0.78

 Peripheral vascular disease

170 (11.3%)

32 (7.9%)

138 (12.6%)

0.01

 Dementia

141 (9.4%)

47 (11.6%)

94 (8.6%)

0.08

 Cirrhosis

27 (1.8%)

7 (1.7%)

20 (1.8%)

0.89

LVEF %, Mean ± SD

26.4 ± 7.2

24.4 ± 7.5

27.2 ± 7.0

<0.0001

Admission Blood Pressure, Labs, & Home Medications

 SBP, Mean ± SD, mm Hg

130.7 ± 23.8

134.3 ± 25.7

129.4 ± 22.9

0.001

 Sodium, Mean ± SD, mEq/L

137.4 ± 4.4

137.7 ± 4.4

137.4 ± 4.5

0.21

 Potassium, Mean ± SD, mEq/L

4.4 ± 0.6

4.4 ± 0.6

4.4 ± 0.6

0.86

 Creatinine, Mean ± SD, mg/dL

1.2 ± 0.5

1.3 ± 0.5

1.2 ± 0.5

0.11

 eGFR, Mean ± SD, ml/min/1.73 m2

63.6 ± 24.9

61.4 ± 22.0

64.4 ± 25.9

0.03

 ACE-inhibitor or ARB

882 (58.8%)

237 (58.2%)

635 (58.1%)

0.36

 Beta-blocker

1095 (73.0%)

299 (73.5%)

796 (72.8%)

0.80

 Loop diuretic

864 (57.6%)

275 (67.6%)

589 (53.9%)

<0.0001

Discharge Labs & Medications

 Creatinine, Mean ± SD, mg/dL

1.2 ± 0.4

1.2 ± 0.4

1.1 ± 0.4

<0.0001

 eGFR, Mean ± SD, ml/min/1.73 m2

65.4 ± 24.0

61.4 ± 22.0

64.4 ± 25.9

<0.0001

 Potassium, Mean ± SD, mEq/L

4.2 ± 0.4

4.2 ± 0.4

4.3 ± 0.4

0.01

 ACE-inhibitor or ARB

975 (65.0%)

287 (70.5%)

688 (63.0%)

0.006

 Beta-blocker

1184 (78.9%)

323 (79.4%)

861 (78.8%)

0.80

 Loop diuretic

1022 (68.1%)

339 (83.3%)

683 (62.5%)

<0.0001

Primary Service*

 Cardiology

668 (44.5%)

284 (69.8%)

384 (35.1%)

<0.0001

 Medicine

411 (27.4%)

85 (20.9%)

326 (29.8%)

0.0006

 Other

395 (26.3%)

28 (6.9%)

367 (33.6%)

<0.0001

  1. Abbreviations: COPD Chronic Obstructive Pulmonary Disease, LVEF left ventricular ejection fraction, eGFR estimated glomerular filtration rate (ml/min/1.73 m2), ACE angiotensin converting enzyme, ARB Angiotensin Receptor Blocker, SBP systolic blood pressure. *Primary Service totals do not add up to 100% due to missing data (~2% of admissions)