. | Overall (%), 5175 . | No complication (%) (n = 5075) . | Any complication (%) (n = 100) . | P-value . |
---|---|---|---|---|
Watchman device implantations | ||||
Age (years) | 0.117 | |||
18–49 | 0.77 | 0.79 | 0.00 | |
50–64 | 7.54 | 7.59 | 5.00 | |
65–74 | 33.04 | 33.2 | 25.00 | |
≥75 | 58.65 | 58.42 | 70.00 | |
Gender | 0.228 | |||
Male | 59.13 | 59.01 | 65.00 | |
Female | 40.87 | 40.99 | 35.00 | |
Race | 0.063 | |||
White | 83.09 | 82.96 | 90.00 | |
Non-White | 16.91 | 17.04 | 10.00 | |
Comorbiditiesa | ||||
Obesity | 11.5 | 11.53 | 10.00 | 0.635 |
Hypertension | 83.38 | 83.65 | 70.00 | 0.000 |
Diabetes | 30.82 | 30.94 | 25.00 | 0.203 |
Heart failure | 30.82 | 30.84 | 30.00 | 0.850 |
Coronary artery disease | 48.21 | 48.28 | 45.00 | 0.516 |
COPD | 15.46 | 15.47 | 15.00 | 0.898 |
CKD stage 3 or more | 19.52 | 19.61 | 15.00 | 0.250 |
Prior CABG | 17.87 | 18.03 | 10.00 | 0.038 |
Hyperthyroidism | 0.19 | 0.2 | 0.00 | 0.657 |
Alcohol disorder | 1.06 | 0.99 | 5.00 | 0.000 |
Mitral valve stenosis | 0.19 | 0.2 | 0.00 | 0.657 |
Prior stroke/TIA | 27.92 | 28.28 | 10.00 | <0.001 |
Peripheral vascular disease | 8.21 | 8.18 | 10.00 | 0.511 |
Anaemia | 15.36 | 15.07 | 30.00 | <0.001 |
Median household income category for patient's zip codeb | 0.023 | |||
1. 0–25th percentile | 17.39 | 17.54 | 10.00 | |
2. 26–50th percentile | 23.09 | 22.86 | 35.00 | |
3. 51–75th percentile | 27.54 | 27.59 | 25.00 | |
4. 76–100th percentile | 30.34 | 30.34 | 30.00 | |
Primary payerc | 0.314 | |||
Federal insurance | 92.35 | 92.3 | 95.00 | |
Private insurance | 7.65 | 7.7 | 5.00 | |
Hospital characteristics | ||||
Hospital region | 0.015 | |||
Northeast | 16.71 | 16.55 | 25.00 | |
Midwest | 19.9 | 20.1 | 10.00 | |
South | 34.78 | 34.68 | 40.00 | |
West | 28.6 | 28.67 | 25.00 | |
Hospital bed sized | 0.306 | |||
Small/medium | 30.34 | 30.25 | 35.00 | |
Large | 69.66 | 69.75 | 65.00 | |
Hospital teaching statuse | 0.034 | |||
Non-teaching | 11.79 | 11.92 | 5.00 | |
Teaching | 88.21 | 88.08 | 95.00 | |
Hospital location | 0.373 | |||
Rural | 0.77 | 0.79 | 0.00 | |
Urban | 99.23 | 99.21 | 100.00 | |
Admission type | 0.306 | |||
Non-elective | 11.74 | 11.67 | 15.00 | |
Elective | 88.26 | 88.33 | 85.00 | |
Disposition | <0.001 | |||
Home | 97 | 97.54 | 70.00 | |
Facility/others | 2.61 | 2.36 | 0.15 | |
In-hospital mortality | 0.29 | 0 | 0.15 | |
Length of stay (mean ± std err) (days) | 1.36 ± 0.05 | 1.34 ± 0.04 | 3.00 ± 0.69 | <0.001 |
Cost of care (mean ± std err) (USD) | 25 724 ± 358 | 25 540 ± 350 | 35 523 ±5164 | 0.001 |
. | Overall (%), 5175 . | No complication (%) (n = 5075) . | Any complication (%) (n = 100) . | P-value . |
---|---|---|---|---|
Watchman device implantations | ||||
Age (years) | 0.117 | |||
18–49 | 0.77 | 0.79 | 0.00 | |
50–64 | 7.54 | 7.59 | 5.00 | |
65–74 | 33.04 | 33.2 | 25.00 | |
≥75 | 58.65 | 58.42 | 70.00 | |
Gender | 0.228 | |||
Male | 59.13 | 59.01 | 65.00 | |
Female | 40.87 | 40.99 | 35.00 | |
Race | 0.063 | |||
White | 83.09 | 82.96 | 90.00 | |
Non-White | 16.91 | 17.04 | 10.00 | |
Comorbiditiesa | ||||
Obesity | 11.5 | 11.53 | 10.00 | 0.635 |
Hypertension | 83.38 | 83.65 | 70.00 | 0.000 |
Diabetes | 30.82 | 30.94 | 25.00 | 0.203 |
Heart failure | 30.82 | 30.84 | 30.00 | 0.850 |
Coronary artery disease | 48.21 | 48.28 | 45.00 | 0.516 |
COPD | 15.46 | 15.47 | 15.00 | 0.898 |
CKD stage 3 or more | 19.52 | 19.61 | 15.00 | 0.250 |
Prior CABG | 17.87 | 18.03 | 10.00 | 0.038 |
Hyperthyroidism | 0.19 | 0.2 | 0.00 | 0.657 |
Alcohol disorder | 1.06 | 0.99 | 5.00 | 0.000 |
Mitral valve stenosis | 0.19 | 0.2 | 0.00 | 0.657 |
Prior stroke/TIA | 27.92 | 28.28 | 10.00 | <0.001 |
Peripheral vascular disease | 8.21 | 8.18 | 10.00 | 0.511 |
Anaemia | 15.36 | 15.07 | 30.00 | <0.001 |
Median household income category for patient's zip codeb | 0.023 | |||
1. 0–25th percentile | 17.39 | 17.54 | 10.00 | |
2. 26–50th percentile | 23.09 | 22.86 | 35.00 | |
3. 51–75th percentile | 27.54 | 27.59 | 25.00 | |
4. 76–100th percentile | 30.34 | 30.34 | 30.00 | |
Primary payerc | 0.314 | |||
Federal insurance | 92.35 | 92.3 | 95.00 | |
Private insurance | 7.65 | 7.7 | 5.00 | |
Hospital characteristics | ||||
Hospital region | 0.015 | |||
Northeast | 16.71 | 16.55 | 25.00 | |
Midwest | 19.9 | 20.1 | 10.00 | |
South | 34.78 | 34.68 | 40.00 | |
West | 28.6 | 28.67 | 25.00 | |
Hospital bed sized | 0.306 | |||
Small/medium | 30.34 | 30.25 | 35.00 | |
Large | 69.66 | 69.75 | 65.00 | |
Hospital teaching statuse | 0.034 | |||
Non-teaching | 11.79 | 11.92 | 5.00 | |
Teaching | 88.21 | 88.08 | 95.00 | |
Hospital location | 0.373 | |||
Rural | 0.77 | 0.79 | 0.00 | |
Urban | 99.23 | 99.21 | 100.00 | |
Admission type | 0.306 | |||
Non-elective | 11.74 | 11.67 | 15.00 | |
Elective | 88.26 | 88.33 | 85.00 | |
Disposition | <0.001 | |||
Home | 97 | 97.54 | 70.00 | |
Facility/others | 2.61 | 2.36 | 0.15 | |
In-hospital mortality | 0.29 | 0 | 0.15 | |
Length of stay (mean ± std err) (days) | 1.36 ± 0.05 | 1.34 ± 0.04 | 3.00 ± 0.69 | <0.001 |
Cost of care (mean ± std err) (USD) | 25 724 ± 358 | 25 540 ± 350 | 35 523 ±5164 | 0.001 |
CABG, coronary artery bypass graft; COPD, chronic obstructive pulmonary disease; CKD, chronic kidney disease; TIA, transient ischaemic attack.
All comorbidities were coded using appropriate ICD-10 codes in secondary diagnosis field as per Supplementary material online, Table S1.
A quartile classification of the estimated median household income of residents in the patients ZIP Code, derived from ZIP Code-demographic data obtained from Claritas. The quartiles are identified by values of 1–4, indicating the poorest to wealthiest populations. Because these estimates are updated annually, the value ranges vary by year https://www.hcup-us.ahrq.gov/db/vars/zipinc_qrtl/nisnote.jsp.
If primary payer were either Medicare or Medicaid, it was defined as federal insurance, all other categories were defined as private insurance https://www.hcup-us.ahrq.gov/db/vars/pay1/nisnote.jsp.
The bed size cut-off points divided into small, medium, and large have been done so that approximately one-third of the hospitals in a given region, location, and teaching status combination would fall within each bed size category https://www.hcup-us.ahrq.gov/db/vars/hosp_bedsize/nisnote.jsp.
A hospital is considered to be a teaching hospital if it has an AMA-approved residency program, is a member of the Council of Teaching Hospitals (COTH) or has a ratio of full-time equivalent interns and residents to beds of 0.25 or higher https://www.hcup-us.ahrq.gov/db/vars/hosp_locteach/nisnote.jsp.
. | Overall (%), 5175 . | No complication (%) (n = 5075) . | Any complication (%) (n = 100) . | P-value . |
---|---|---|---|---|
Watchman device implantations | ||||
Age (years) | 0.117 | |||
18–49 | 0.77 | 0.79 | 0.00 | |
50–64 | 7.54 | 7.59 | 5.00 | |
65–74 | 33.04 | 33.2 | 25.00 | |
≥75 | 58.65 | 58.42 | 70.00 | |
Gender | 0.228 | |||
Male | 59.13 | 59.01 | 65.00 | |
Female | 40.87 | 40.99 | 35.00 | |
Race | 0.063 | |||
White | 83.09 | 82.96 | 90.00 | |
Non-White | 16.91 | 17.04 | 10.00 | |
Comorbiditiesa | ||||
Obesity | 11.5 | 11.53 | 10.00 | 0.635 |
Hypertension | 83.38 | 83.65 | 70.00 | 0.000 |
Diabetes | 30.82 | 30.94 | 25.00 | 0.203 |
Heart failure | 30.82 | 30.84 | 30.00 | 0.850 |
Coronary artery disease | 48.21 | 48.28 | 45.00 | 0.516 |
COPD | 15.46 | 15.47 | 15.00 | 0.898 |
CKD stage 3 or more | 19.52 | 19.61 | 15.00 | 0.250 |
Prior CABG | 17.87 | 18.03 | 10.00 | 0.038 |
Hyperthyroidism | 0.19 | 0.2 | 0.00 | 0.657 |
Alcohol disorder | 1.06 | 0.99 | 5.00 | 0.000 |
Mitral valve stenosis | 0.19 | 0.2 | 0.00 | 0.657 |
Prior stroke/TIA | 27.92 | 28.28 | 10.00 | <0.001 |
Peripheral vascular disease | 8.21 | 8.18 | 10.00 | 0.511 |
Anaemia | 15.36 | 15.07 | 30.00 | <0.001 |
Median household income category for patient's zip codeb | 0.023 | |||
1. 0–25th percentile | 17.39 | 17.54 | 10.00 | |
2. 26–50th percentile | 23.09 | 22.86 | 35.00 | |
3. 51–75th percentile | 27.54 | 27.59 | 25.00 | |
4. 76–100th percentile | 30.34 | 30.34 | 30.00 | |
Primary payerc | 0.314 | |||
Federal insurance | 92.35 | 92.3 | 95.00 | |
Private insurance | 7.65 | 7.7 | 5.00 | |
Hospital characteristics | ||||
Hospital region | 0.015 | |||
Northeast | 16.71 | 16.55 | 25.00 | |
Midwest | 19.9 | 20.1 | 10.00 | |
South | 34.78 | 34.68 | 40.00 | |
West | 28.6 | 28.67 | 25.00 | |
Hospital bed sized | 0.306 | |||
Small/medium | 30.34 | 30.25 | 35.00 | |
Large | 69.66 | 69.75 | 65.00 | |
Hospital teaching statuse | 0.034 | |||
Non-teaching | 11.79 | 11.92 | 5.00 | |
Teaching | 88.21 | 88.08 | 95.00 | |
Hospital location | 0.373 | |||
Rural | 0.77 | 0.79 | 0.00 | |
Urban | 99.23 | 99.21 | 100.00 | |
Admission type | 0.306 | |||
Non-elective | 11.74 | 11.67 | 15.00 | |
Elective | 88.26 | 88.33 | 85.00 | |
Disposition | <0.001 | |||
Home | 97 | 97.54 | 70.00 | |
Facility/others | 2.61 | 2.36 | 0.15 | |
In-hospital mortality | 0.29 | 0 | 0.15 | |
Length of stay (mean ± std err) (days) | 1.36 ± 0.05 | 1.34 ± 0.04 | 3.00 ± 0.69 | <0.001 |
Cost of care (mean ± std err) (USD) | 25 724 ± 358 | 25 540 ± 350 | 35 523 ±5164 | 0.001 |
. | Overall (%), 5175 . | No complication (%) (n = 5075) . | Any complication (%) (n = 100) . | P-value . |
---|---|---|---|---|
Watchman device implantations | ||||
Age (years) | 0.117 | |||
18–49 | 0.77 | 0.79 | 0.00 | |
50–64 | 7.54 | 7.59 | 5.00 | |
65–74 | 33.04 | 33.2 | 25.00 | |
≥75 | 58.65 | 58.42 | 70.00 | |
Gender | 0.228 | |||
Male | 59.13 | 59.01 | 65.00 | |
Female | 40.87 | 40.99 | 35.00 | |
Race | 0.063 | |||
White | 83.09 | 82.96 | 90.00 | |
Non-White | 16.91 | 17.04 | 10.00 | |
Comorbiditiesa | ||||
Obesity | 11.5 | 11.53 | 10.00 | 0.635 |
Hypertension | 83.38 | 83.65 | 70.00 | 0.000 |
Diabetes | 30.82 | 30.94 | 25.00 | 0.203 |
Heart failure | 30.82 | 30.84 | 30.00 | 0.850 |
Coronary artery disease | 48.21 | 48.28 | 45.00 | 0.516 |
COPD | 15.46 | 15.47 | 15.00 | 0.898 |
CKD stage 3 or more | 19.52 | 19.61 | 15.00 | 0.250 |
Prior CABG | 17.87 | 18.03 | 10.00 | 0.038 |
Hyperthyroidism | 0.19 | 0.2 | 0.00 | 0.657 |
Alcohol disorder | 1.06 | 0.99 | 5.00 | 0.000 |
Mitral valve stenosis | 0.19 | 0.2 | 0.00 | 0.657 |
Prior stroke/TIA | 27.92 | 28.28 | 10.00 | <0.001 |
Peripheral vascular disease | 8.21 | 8.18 | 10.00 | 0.511 |
Anaemia | 15.36 | 15.07 | 30.00 | <0.001 |
Median household income category for patient's zip codeb | 0.023 | |||
1. 0–25th percentile | 17.39 | 17.54 | 10.00 | |
2. 26–50th percentile | 23.09 | 22.86 | 35.00 | |
3. 51–75th percentile | 27.54 | 27.59 | 25.00 | |
4. 76–100th percentile | 30.34 | 30.34 | 30.00 | |
Primary payerc | 0.314 | |||
Federal insurance | 92.35 | 92.3 | 95.00 | |
Private insurance | 7.65 | 7.7 | 5.00 | |
Hospital characteristics | ||||
Hospital region | 0.015 | |||
Northeast | 16.71 | 16.55 | 25.00 | |
Midwest | 19.9 | 20.1 | 10.00 | |
South | 34.78 | 34.68 | 40.00 | |
West | 28.6 | 28.67 | 25.00 | |
Hospital bed sized | 0.306 | |||
Small/medium | 30.34 | 30.25 | 35.00 | |
Large | 69.66 | 69.75 | 65.00 | |
Hospital teaching statuse | 0.034 | |||
Non-teaching | 11.79 | 11.92 | 5.00 | |
Teaching | 88.21 | 88.08 | 95.00 | |
Hospital location | 0.373 | |||
Rural | 0.77 | 0.79 | 0.00 | |
Urban | 99.23 | 99.21 | 100.00 | |
Admission type | 0.306 | |||
Non-elective | 11.74 | 11.67 | 15.00 | |
Elective | 88.26 | 88.33 | 85.00 | |
Disposition | <0.001 | |||
Home | 97 | 97.54 | 70.00 | |
Facility/others | 2.61 | 2.36 | 0.15 | |
In-hospital mortality | 0.29 | 0 | 0.15 | |
Length of stay (mean ± std err) (days) | 1.36 ± 0.05 | 1.34 ± 0.04 | 3.00 ± 0.69 | <0.001 |
Cost of care (mean ± std err) (USD) | 25 724 ± 358 | 25 540 ± 350 | 35 523 ±5164 | 0.001 |
CABG, coronary artery bypass graft; COPD, chronic obstructive pulmonary disease; CKD, chronic kidney disease; TIA, transient ischaemic attack.
All comorbidities were coded using appropriate ICD-10 codes in secondary diagnosis field as per Supplementary material online, Table S1.
A quartile classification of the estimated median household income of residents in the patients ZIP Code, derived from ZIP Code-demographic data obtained from Claritas. The quartiles are identified by values of 1–4, indicating the poorest to wealthiest populations. Because these estimates are updated annually, the value ranges vary by year https://www.hcup-us.ahrq.gov/db/vars/zipinc_qrtl/nisnote.jsp.
If primary payer were either Medicare or Medicaid, it was defined as federal insurance, all other categories were defined as private insurance https://www.hcup-us.ahrq.gov/db/vars/pay1/nisnote.jsp.
The bed size cut-off points divided into small, medium, and large have been done so that approximately one-third of the hospitals in a given region, location, and teaching status combination would fall within each bed size category https://www.hcup-us.ahrq.gov/db/vars/hosp_bedsize/nisnote.jsp.
A hospital is considered to be a teaching hospital if it has an AMA-approved residency program, is a member of the Council of Teaching Hospitals (COTH) or has a ratio of full-time equivalent interns and residents to beds of 0.25 or higher https://www.hcup-us.ahrq.gov/db/vars/hosp_locteach/nisnote.jsp.
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