Research Article

Utilization and Dose Optimization of Angiotensin-Converting Enzyme Inhibitors among Heart Failure Patients in Southwest Ethiopia

Table 4

Factors associated with the utilization of ACEIs (n=308).

Variables ACEIs use COR (95% CI)p-valueAOR (95%CI)p-value
No, n (%)Yes, n (%)

Age category

<6562 (79.5)165 (71.7)1111

>=6516 (20.5)65 (28.3)1.53 (0.82-2.84)0.1811.02 (0.47-2.19)0.964

Hospitalization in the last one year

No39 (50.0)93 (40.4)1111

Yes39 (50.0)137 (59.6)1.47 (0.88-2.47)0.1411.33 (0.69-2.55)0.394

Number of comorbidities

<236 (46.2)79 (34.3)1111

>=242 (53.8)151 (65.7)1.64 (0.97-2.76)0.0641.02 (0.51-2.01)0.964

NYHA class.

I3 (3.75)19 (8.3)1111

II12 (15)125 (54.8)0.47 (0.10-2.15)0.3311.11 (0.13-9.55)0.925

III65 (81.3)84 (36.8)0.19 (0.04-0.83)0.0270.12 (0.02-0.98)0.047

Ischemic heart disease

No48 (61.5)121 (52.6)1111

Yes30 (38.5)109 (47.4)1.44 (0.85-2.44)0.1721.23 (0.60-2.51)0.579

Hypertension

No72 (92.3)153 (66.5)

Yes6 (7.7)77 (33.5)6.04 (2.51-14.51)P<0.0015.82 (2.16-15.710.001

Valvular heart disease

No42 (53.8)199 (86.5)1111

Yes36 (46.2)31 (13.5)0.18 (.10-0.32)P<0.0010.27 (0.13-0.56)0.001

Diabetes mellitus

No75 (96.2)181 (78.7)1111

Yes3 (3.8)49 (21.3)5.91 (1.78-19.63)0.0043.84 (1.07-13.86)0.040

NYHA, New York Heart Association, ACEIs, angiotensin converting enzyme inhibitors, COR, crude odds ratio, AOR, adjusted odds ratio, and CI, confidence interval.