Differences in access to coronary care unit among patients with acute myocardial infarction in Rome: old, ill, and poor people hold the burden of inefficiency.

In multiple logistic regression analysis (Table 3 , last two columns), when the potential confounding was adjusted for and the clustering by hospital was taken into account, the independent roles of gender (OR = 0.72; 95%CI = 0.64-0.84 when comparing females to males), age (a strong trend over the whole age range, with OR = 0.35; 95%CI = 0.25-0.48 when comparing 85+ to up to 50 yrs.) and illness severity (OR = 0.48; 95%CI = 0.37-0.61 when comparing Charlson index 3+ to 0) were confirmed, while low SES level emerged as an independent determinant of non-admission to CCU (OR = 0.79; 95%CI = 0.65-0.95 and OR = 0.81; 95%CI = 0.66-0.99 when comparing levels III and IV, respectively, to level I, area under the ROC = 0.704; H-L = 15.1, p = 0.06).

also in 5,725 other papers