Variables | Overall (N = 2920) | Quartile 1 (N = 680) | Quartile 2 (N = 741) | Quartile 3 (N = 757) | Quartile 4 (n = 742) | P-value |
---|---|---|---|---|---|---|
ACAG, mmol/L | 19.25 (16.75, 22.50) | 15.25 (14.00,16.00) | 18.00 (17.25,18.50) | 20.50 (19.75,21.50) | 25.25 (23.56,28.25) | < 0.01 |
Paroxysmal atrial fibrillation, n (%) | 47 (1.61) | 6 (0.88) | 14 (1.89) | 15 (1.98) | 12 (1.62) | 0.35 |
Demographic variables | Â | Â | Â | Â | Â | Â |
 Age (years) | 78.00 (69.00, 86.00) | 77.00 (68.00,85.00) | 80.00 (69.00,86.00) | 78.00 (71.00,86.00) | 77.00 (67.00,85.00) | < 0.01 |
 Sex, male, n(%) | 1604 (54.93) | 388 (57.06) | 380 (51.28) | 405 (53.50) | 431 (58.09) | 0.03 |
 Race, White, n(%) | 2046 (70.07) | 475 (69.85) | 544 (73.41) | 523 (69.09) | 504 (67.92) | 0.11 |
Comorbidities, n (%) | Â | Â | Â | Â | Â | Â |
 Myocardial infarction | 747 (25.58) | 144 (21.18) | 166 (22.40) | 203 (26.82) | 234 (31.54) | < 0.01 |
 Congestive heart failure | 1500 (51.37) | 277 (40.74) | 367 (49.53) | 428 (56.54) | 428 (57.68) | < 0.01 |
 Diabetes | 969 (33.18) | 170 (25.00) | 219 (29.55) | 262 (34.61) | 318 (42.86) | < 0.01 |
 Hypertension | 1154 (39.52) | 278 (40.88) | 333 (44.94) | 296 (39.10) | 247 (33.29) | < 0.01 |
 Obesity | 341 (11.68) | 61 (8.97) | 80 (10.80) | 88 (11.62) | 112 (15.09) | < 0.01 |
 Peripheral vascular disease | 446 (15.27) | 94 (13.82) | 124 (16.73) | 101 (13.34) | 127 (17.12) | 0.09 |
 Cerebrovascular disease | 725 (24.83) | 219 (32.21) | 210 (28.34) | 171 (22.59) | 125 (16.85) | < 0.01 |
 COPD | 866 (29.66) | 201 (29.56) | 201 (27.13) | 249 (32.89) | 215 (28.98) | 0.10 |
 Rheumatic Disease | 138 (4.73) | 27 (3.97) | 32 (4.32) | 37 (4.89) | 42 (5.66) | 0.45 |
 Paraplegia | 298 (10.21) | 103 (15.15) | 87 (11.74) | 67 (8.85) | 41 (5.53) | < 0.01 |
 Renal Disease | 805 (27.57) | 100 (14.71) | 182 (24.56) | 247 (32.63) | 276 (37.20) | < 0.01 |
 Liver Disease | 178 (6.10) | 19 (2.79) | 35 (4.72) | 36 (4.76) | 88 (11.86) | < 0.01 |
Laboratory data | Â | Â | Â | Â | Â | Â |
 Hematocrit, % | 35.80 (31.60, 40.50) | 36.90 (32.30,41.00) | 35.30 (31.30,40.10) | 35.50 (31.40,40.20) | 36.05 (31.50,40.80) | < 0.01 |
 Hemoglobin, g/dL | 11.70 (10.20, 13.30) | 12.10 (10.60,13.50) | 11.60 (10.20,13.10) | 11.60 (10.10,13.20) | 11.70 (10.03,13.30) | < 0.01 |
 Platelets, K/uL | 211.00 (161.00, 279.00) | 201.00 (158.00,251.25) | 212.00 (167.00,270.00) | 213.00 (163.00,284.00) | 220.00 (157.25,306.00) | < 0.01 |
 WBC, K/uL | 12.90 (9.30, 18.00) | 10.30 (8.00,14.10) | 12.40 (9.10,16.80) | 13.20 (9.50,18.30) | 16.25 (11.30,22.17) | < 0.01 |
 RDW, % | 14.60 (13.70, 16.00) | 14.10 (13.40,15.30) | 14.40 (13.70,15.70) | 14.80 (13.70,16.30) | 15.00 (14.00,16.67) | < 0.01 |
 Albumin, g/dL | 3.40 (2.90, 3.80) | 3.70 (3.30,4.00) | 3.40 (3.00,3.80) | 3.40 (2.90,3.70) | 3.20 (2.70,3.60) | < 0.01 |
 AG, mmol/L | 17.00 (14.00, 20.00) | 13.00 (12.00,14.00) | 15.00 (14.00,16.00) | 18.00 (17.00,19.00) | 22.00 (20.25,25.00) | < 0.01 |
 BUN, mg/dL | 27.00 (19.00, 45.00) | 21.00 (16.00,28.00) | 24.00 (17.00,34.00) | 29.00 (21.00,48.00) | 46.00 (29.00,69.00) | < 0.01 |
 Calcium, mg/dL | 8.60 (8.20, 9.10) | 8.80 (8.30,9.20) | 8.60 (8.20,9.10) | 8.60 (8.20,9.10) | 8.50 (8.00,9.10) | < 0.01 |
 Chloride, mEq/L | 105.00 (102.00, 109.00) | 106.00 (102.00,109.00) | 106.00 (102.00,109.00) | 105.00 (101.00,110.00) | 105.00 (101.00,110.00) | 0.67 |
 Creatinine, mg/dL | 1.30 (0.90, 1.90) | 1.00 (0.80,1.20) | 1.10 (0.80,1.50) | 1.30 (1.00,1.90) | 2.10 (1.40,3.10) | < 0.01 |
 Glucose, g/dL | 152.00 (121.00, 208.00) | 133.00 (110.00,165.00) | 146.00 (119.00,188.00) | 159.00 (126.00,212.00) | 189.00 (140.00,269.00) | < 0.01 |
 Sodium, mEq/L | 140.00 (138.00, 143.00) | 141.00 (138.00,143.00) | 140.00 (138.00,143.00) | 140.00 (137.00,143.00) | 140.00 (137.00,144.00) | 0.19 |
 Potassium, mEq/L | 4.50 (4.10, 5.00) | 4.30 (4.00,4.70) | 4.40 (4.10,4.80) | 4.40 (4.10,5.00) | 4.90 (4.40,5.60) | < 0.01 |
 INR | 1.40 (1.20, 2.10) | 1.30 (1.20,1.70) | 1.40 (1.20,2.00) | 1.40 (1.20,2.00) | 1.60 (1.30,2.77) | < 0.01 |
 Prothrombin time, s | 15.70 (13.30, 22.40) | 14.55 (12.90,18.20) | 15.80 (13.20,21.60) | 15.50 (13.30,21.30) | 17.85 (14.30,29.80) | < 0.01 |
 Partial thromboplastin time, s | 35.40 (29.60, 54.52) | 33.00 (28.80,42.50) | 34.50 (29.00,49.50) | 35.50 (29.30,57.20) | 41.25 (31.63,70.28) | < 0.01 |
Vital signs | Â | Â | Â | Â | Â | Â |
 Heart rate, beats/min | 85.00 (73.00, 98.00) | 79.00 (70.00,91.00) | 83.00 (72.00,96.00) | 87.00 (75.00,99.00) | 92.00 (78.00,105.00) | < 0.01 |
 Systolic blood pressure, mmHg | 115.00 (106.00, 128.00) | 121.00 (110.00,134.00) | 119.00 (108.00,131.00) | 114.00 (105.00,128.00) | 110.00 (102.00,118.00) | < 0.01 |
 Diastolic blood pressure, mmHg | 62.00 (55.00, 69.00) | 64.00 (56.00,72.00) | 63.00 (55.00,70.00) | 62.00 (55.00,69.00) | 60.00 (53.25,67.00) | < 0.01 |
 Mean blood pressure, mmHg | 77.00 (71.00, 85.00) | 80.00 (73.00,88.00) | 78.00 (71.00,85.00) | 76.00 (70.00,84.00) | 74.00 (68.00,81.00) | < 0.01 |
Clinical severity | Â | Â | Â | Â | Â | Â |
 SOFA | 5.00 (3.00, 8.00) | 3.00 (2.00,5.00) | 4.00 (2.00,6.00) | 5.00 (3.00,8.00) | 7.00 (5.00,11.00) | < 0.01 |
 OASIS | 34.00 (29.00, 40.00) | 31.00 (26.00,37.00) | 34.00 (28.00,39.00) | 34.00 (29.00,39.00) | 38.00 (32.00,46.00) | < 0.01 |
 SAPS II | 39.00 (32.00, 49.00) | 34.00 (28.00,40.00) | 37.00 (31.00,45.00) | 40.00 (33.00,48.00) | 49.00 (40.00,60.00) | < 0.01 |
Diagnostic and therapeutic, n (%) | Â | Â | Â | Â | Â | Â |
 Aspirin | 1246 (42.67) | 301 (44.26) | 303 (40.89) | 337 (44.52) | 305 (41.11) | 0.33 |
 Clopidogrel | 218 (7.47) | 45 (6.62) | 47 (6.34) | 63 (8.32) | 63 (8.49) | 0.26 |
 Statin | 1220 (41.78) | 321 (47.21) | 333 (44.94) | 315 (41.61) | 251 (33.83) | < 0.01 |
 Beta-Blockers | 1896 (64.93) | 461 (67.79) | 484 (65.32) | 505 (66.71) | 446 (60.11) | 0.01 |
 ACEI/ARB | 286 (9.79) | 73 (10.74) | 89 (12.01) | 70 (9.25) | 54 (7.28) | 0.02 |
 Amiodarone | 720 (24.66) | 140 (20.59) | 163 (22.00) | 172 (22.72) | 245 (33.02) | < 0.01 |
 Dabigatran | 26 (0.89) | 5 (0.74) | 6 (0.81) | 10 (1.32) | 5 (0.67) | 0.53 |
 Heparin | 2263 (77.50) | 473 (69.56) | 561 (75.71) | 597 (78.86) | 632 (85.18) | < 0.01 |
 Warfarin | 568 (19.45) | 128 (18.82) | 163 (22.00) | 139 (18.36) | 138 (18.60) | 0.25 |
 Vasoactive drugs | 2203(75.45) | 481 (70.74) | 525 (70.85) | 579 (76.49) | 618 (83.29) | < 0.01 |
 Intra-aortic balloon pump | 23 (0.79) | 2 (0.29) | 7 (0.94) | 8 (1.06) | 6 (0.81) | 0.383 |
 Coronary angiography | 48 (1.64) | 6 (0.88) | 14 (1.89) | 15 (1.98) | 13 (1.75) | 0.347 |
Length of stay, days | Â | Â | Â | Â | Â | Â |
 Length of stay in hospital | 9.00 (5.00, 14.00) | 7.00 (5.00,12.00) | 9.00 (6.00,14.00) | 9.00 (5.00,15.00) | 10.00 (6.00,17.00) | < 0.01 |
 Length of stay in ICU | 3.00 (2.00, 6.00) | 3.00 (2.00,5.00) | 3.00 (2.00,6.00) | 3.00 (2.00,6.00) | 4.00 (2.00,8.00) | < 0.01 |
Events, n (%) | Â | Â | Â | Â | Â | Â |
 Hospital mortality | 530 (18.15) | 72 (10.59) | 84 (11.34) | 137 (18.10) | 237 (31.94) | < 0.01 |
 30-day mortality | 669 (22.91) | 99 (14.56) | 124 (16.73) | 175 (23.12) | 271 (36.52) | < 0.01 |
 365-day mortality | 1145 (39.21) | 192 (28.24) | 239 (32.25) | 314 (41.48) | 400 (53.91) | < 0.01 |