| Null Model | Model 1 | Model 2 | |||
---|---|---|---|---|---|---|
AOR (95% CI) | P | AOR (95% CI) | P | AOR (95% CI) | P | |
Patient characteristics | ||||||
 Sex | ||||||
  Male |  |  | Reference |  | Reference |  |
  Female |  |  | 0.73 (0.67–0.79) | <.001 | 0.72 (0.67–0.79) | <.001 |
 Age | ||||||
  65–74 |  |  | Reference |  | Reference |  |
  75–79 |  |  | 0.90 (0.79–1.03) | .124 | 0.90 (0.79–1.03) | .124 |
  80–84 |  |  | 0.86 (0.75–0.98) | .025 | 0.86 (0.75–0.98) | .023 |
   ≥ 85 |  |  | 0.70 (0.60–0.82) | <.001 | 0.70 (0.60–0.82) | <.001 |
 Economic status | ||||||
  Low |  |  | Reference |  | Reference |  |
  Middle |  |  | 0.99 (0.91–1.08) | .884 | 0.99 (0.91–1.08) | .900 |
  High |  |  | 1.05 (0.89–1.23) | .545 | 1.05 (0.90–1.24) | .535 |
 Type of ACS | ||||||
  STEMI/unstable angina |  |  | Reference |  | Reference |  |
  Others |  |  | 0.30 (0.28–0.34) | <.001 | 0.31 (0.28–0.34) | <.001 |
 Comorbidities | ||||||
  Hypertension |  |  | 1.32 (1.12–1.54) | .001 | 1.32 (1.12–1.54) | .001 |
  Dyslipidemia |  |  | 1.20 (1.11–1.30) | <.001 | 1.20 (1.11–1.30) | <.001 |
 CCI | ||||||
  No |  |  | Reference |  | Reference |  |
  Mild |  |  | 1.21 (0.95–1.54) | .131 | 1.21 (0.95–1.55) | .122 |
  Moderate |  |  | 1.18 (0.93–1.51) | .172 | 1.18 (0.93–1.51) | .171 |
  Severe |  |  | 1.21 (0.95–1.55) | .118 | 1.21 (0.95–1.55) | .117 |
Hospital characteristics | ||||||
 Number of beds | ||||||
   ≤ 199 |  |  |  |  | Reference |  |
  200–399 |  |  |  |  | 1.53 (1.00–2.34) | .050 |
   ≥ 400 |  |  |  |  | 1.11 (0.60–2.05) | .740 |
 Ownership | ||||||
  Public |  |  |  |  | Reference |  |
  Private |  |  |  |  | 1.37 (0.97–1.94) | .075 |
 Physician density | ||||||
  Low |  |  |  |  | Reference |  |
  Middle |  |  |  |  | 1.21 (0.75–1.95) | .432 |
  High |  |  |  |  | 2.05 (1.16–3.64) | .014 |
δ2 | ||||||
 SMA level | <.001 | <.001 | <.001 | |||
 Hospital level | 0.744 | 0.640 | 0.541 | |||
ICC | ||||||
 SMA level | <.001 | <.001 | <.001 | |||
 Hospital level | 0.184 | 0.163 | 0.141 | |||
PCV (%) | ||||||
 SMA level | Reference | – | – | |||
 Hospital level | Reference | 7.3 | 14.7 | |||
MOR | ||||||
 SMA level | 1.001 | 1.001 | 1.000 | |||
 Hospital level | 2.425 | 2.347 | 2.266 | |||
AIC | 15,698.0 | 14,957.1 | 14,953.4 | |||
Log Likelihood | − 7845.99 | − 7463.53 | − 7456.7 |