Table 2

Independent predictors of discharge against medical advice

VariableOR (95% CI)P values
Age0.97 (0.96 to 0.97)<0.001
Male sex1.92 (1.81 to 2.03)<0.001
Diagnosis of STEMI1.16 (1.09 to 1.23)<0.001
Primary expected payer versus Medicare
 Medicaid1.30 (1.20 to 1.41)<0.001
 Private0.40 (0.36 to 0.43)<0.001
 Uninsured1.13 (1.03 to 1.24)0.008
 Other0.86 (0.76 to 0.98)0.021
Median household income versus the 0–25th centile
 26–50th0.89 (0.84 to 0.95)0.001
 51–75th0.88 (0.82 to 0.95)0.001
 76–100th0.84 (0.77 to 0.91)<0.001
Smoking1.66 (1.57 to 1.75)<0.001
Alcohol misuse1.49 (1.35 to 1.63)<0.001
Dyslipidaemia0.65 (0.61 to 0.68)<0.001
Hypertension1.10 (1.04 to 1.17)<0.001
Diabetes mellitus1.13 (1.08 to 1.20)<0.001
Obesity0.88 (0.82 to 0.95)0.001
Heart failure0.72 (0.52 to 1.00)0.049
Coronary artery disease0.79 (0.74 to 0.84)<0.001
Previous myocardial infarction1.27 (1.18 to 1.36)<0.001
Previous PCI1.25 (1.18 to 1.36)<0.001
Previous CABG0.92 (0.85 to 1.00)0.049
Atrial fibrillation0.83 (0.77 to 0.89)0.24
Chronic lung disease1.14 (1.08 to 1.21)<0.001
Renal failure0.79 (0.73 to 0.85)<0.001
Liver disease0.86 (0.74 to 0.85)0.046
Anaemia0.86 (0.80 to 0.92)<0.001
Cancer0.67 (0.57 to 0.78)<0.001
Depression0.87 (0.79 to 0.96)0.004
Dementia0.69 (0.58 to 0.81)<0.001
Bed size versus small
Medium1.20 (1.06 to 1.35)0.004
Urban location1.15 (1.02 to 1.30)0.022
Teaching hospital0.81 (0.76 to 0.87)<0.001
Receipt of ventilation1.48 (1.25 to 1.75)<0.001
Drug-eluting stent0.57 (0.52 to 0.63)<0.001
Ventricular fibrillation0.59 (0.47 to 0.74)<0.001
Receipt of angiogram0.18 (0.17 to 0.19)<0.001
Receipt of PCI0.57 (0.52 to 0.63)<0.001
Receipt of CABG0.11 (0.08 to 0.13)<0.001
Receipt of ICD/pacemaker0.27 (0.18 to 0.40)<0.001
Receipt of thrombolysis1.22 (1.01 to 1.47)0.043
  • Acute kidney injury, major bleeding and blood transfusions were not included in the analysis because there were too few events.

  • CABG, coronary artery bypass graft; ICD, implantable cardioverter defibrillator; PCI, percutaneous coronary intervention; STEMI, ST elevation myocardial infarction