Evidence-based care in a population with chronic kidney disease and acute coronary syndrome. Findings from the Australian Cooperative National Registry.

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Evidence-based care in a population with chronic kidney disease and acute coronary syndrome. Findings from the Australian Cooperative National Registry of Acute Coronary Care, Guideline Adherence and Clinical Events (CONCORDANCE) Jerrett K. Lau, MBBS, Malcolm O. Anastasius, MMed, Karice K. Hyun, MAppStat, Bilyana Dabin, PhD, Steven Coverdale, MBChB, Cate Ferry, GradDipPH, Joseph Hung, MBBS, Paul Antonis, MBBS (deceased), Derek P. Chew, MPH, Bernadette Aliprandi-Costa, BHSc, Alan Cass, PhD, David B. Brieger, PhD American Heart Journal Volume 170, Issue 3, Pages 566-572.e1 (September 2015) DOI: 10.1016/j.ahj.2015.06.025 Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 1 A, Predictors of CA in all patients with suspected ACS. Age- and sex-adjusted multilevel multivariable stepwise logistic regression model. Chronic kidney disease was an independent predictor of patients not undergoing CA. Cardiac comorbidities and markers of frailty such as heart failure, atrial fibrillation, and impaired mobility also predicted failure to undergo CA. B, Predictors of EBM in all ACS patients. Age- and sex-adjusted multilevel multivariable stepwise logistic regression model. Chronic kidney disease did not independently predict failure to be discharged on EBM, whereas mode of revascularization had a significant impact on discharge with EBM. Patients undergoing PCI were significantly more likely to be discharged on EBM, whereas those undergoing CABG were significantly less likely to be discharged on EBM. C, Predictors of CR in all ACS patients. Age- and sex-adjusted multilevel multivariable stepwise logistic regression model. Failure to be referred to CR on discharge was not independently predicted by CKD. Patients who underwent revascularization were significantly more likely to be referred for CR. AF, atrial fibrillation. American Heart Journal 2015 170, 566-572.e1DOI: (10.1016/j.ahj.2015.06.025) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 2 Predictors of CA in patients with CKD. Age-and sex-adjusted multilevel multivariable stepwise logistic regression model. Among patients with CKD, admission to a hospital with a catheterization laboratory was an independent predictor of CA. Cardiac comorbidities and markers of frailty such as heart failure, atrial fibrillation, and impaired mobility also predicted failure to undergo CA in the CKD population. AF, atrial fibrillation. American Heart Journal 2015 170, 566-572.e1DOI: (10.1016/j.ahj.2015.06.025) Copyright © 2015 Elsevier Inc. Terms and Conditions