Table 5.
Postoperative Myocardial Injury | ||||||
Variable | 1 Total Cohort (n = 1273) | 2 IHD (n = 361) | 3 IHD > 80 Years of Age (n = 277) | |||
OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value | |
Age > 80 years | 3.84 (2.83–4.99) | <0.001 | 3.95 (2.92–5.27) | <0.001 | NA | NA |
IHD | 2.30 (1.81–3.01) | <0.001 | NA | NA | 8.3 (5.58–12.36) | <0.001 |
LMR < 1.1 | 1.56 (1.18–2.06) | 0.002 | 3.84 (2.44–6.05) | <0.001 | 16.08 (8.54–30.29) | <0.001 |
PLR > 280.0 | 1.44 (1.09–1.90) | 0.01 | 3.87 (2.38–6.29) | <0.001 | 16.36 (8.44–11.74) | <0.001 |
Anaemia | 1.08 (0.84–1.38) | 0.568 | 3.37 (2.31–4.93) | <0.001 | 14.13 (8.06–24.78) | <0.001 |
Mon/Eos > 13.0 | 1.30 (1.01–1.66) | 0.038 | 2.50 (1.70–3.68) | <0.001 | 13.43 (6.81–26.49) | <0.001 |
NLR > 7.5 | 1.40 (1.10–1.79) | 0.006 | 3.47 (2.40–5.02) | <0.001 | 12.42 (7.03–21.94) | <0.001 |
Eos < 0.5 × 109/L | 1.38 (1.08–1.77) | 0.01 | 2.77 (1.85–4.14) | <0.001 | 12.29 (6.44–23.47) | <0.001 |
SIRI > 5.1 | 1.42 (1.11–1.81) | 0.005 | 3.44 (2.40–5.00) | <0.001 | 11.99 (6.81–21.09) | <0.001 |
Neutr/Alb × 10 > 2.4 | 1.25 (0.98–1.60) | 0.068 | 3.22 (2.22–4.65) | <0.001 | 11.74 (6.60–20.88) | <0.001 |
Lymp < 1.2 × 109/L | 1.26 (0.99–1.62) | 0.065 | 3.14 (2.20–4.48) | <0.001 | 11.69 (6.57–20.79) | <0.001 |
Monocytes > 1 × 109/L | 1.33 (0.96–1.85) | 0.089 | 2.93 (1.73–5.00) | <0.001 | 11.61 (5.72–23.56) | <0.001 |
GGT/Lymp > 25.4 | 0.95 (0.74–1.21) | 0.658 | 2.32 (1.63–3.30) | <0.001 | 11.17 (6.23–20.05) | <0.001 |
SII > 1650 | 1.41 (1.10–1.801) | 0.006 | 3.33 (2.41–5.16) | <0.001 | 10.51 (5.96–18.53) | <0.001 |
Alb/RDW < 2.6 | 1.09(0.85–1.39) | 0.493 | 2.94 (2.07–4.17) | <0.001 | 10.20 (6.01–17.33) | <0.001 |
RDW/Plt × 100 > 6.6 | 1.06 (0.83–1.36) | 0.642 | 2.50 (1.78–3.51 | <0.001 | 9.93 (5.74–17.17) | <0.001 |
Plt/ALT > 13.8 | 0.96 (0.75–1.23) | 0.750 | 2.69 (1.85–3.91) | <0.001 | 9.87 (5.65–12.27) | <0.001 |
Neutr > 7.5 × 109/L | 1.21 (0.94–1.55) | 0.139 | 2.82 (1.97-4.05) | <0.001 | 9.61 (5.26–17.58) | <0.001 |
RDW > 14.5% | 1.17 (0.91–1.50) | 0.227 | 2.84 (2.00–4.04) | <0.001 | 9.51 (5.73–15.79) | <0.001 |
Neutr/Mon > 12.1 | 1.10 (0.86–1.41) | 0.434 | 2.37 (1.64–3.42) | <0.001 | 8.49 (4.74–15.21) | <0.001 |
ALT/Lymph < 14.6 | 1.28 (1.01–1.64) | 0.045 | 2.06 (1.45–2.93) | <0.001 | 7.23 (4.21–12.40) | <0.001 |
Alb < 33 g/L | 0.80 (0.59–1.09) | 0.162 | 1.80 (1.07–3.02) | 0.026 | 6.64 (3.37–13.08) | <0.001 |
Alb/Lymph/ < 25.4 | 0.96 (0.75–1.22) | 0.728 | 2.10 (1.46–3.01) | <0.001 | 6.56 (3.64–11.85) | <0.001 |
Plt/Alb ratio > 5.9 | 0.89 (0.70–1.1) | 0.351 | 2.12 (1.45–3.10) | <0.001 | 6.07 (3.50–10.53) | <0.001 |
Neutr/Eos > 156.3 | 1.38 (1.08–1.77) | 0.01 | 2.05 (1.46–2.87) | <0.001 | 5.34 (3.27–8.74) | <0.001 |
Hb/Alb > 4.6 | 1.07 (0.84–1.37) | 0.593 | 2.00 (1.39–2.88) | <0.001 | 6.03(3.34–10.89) | <0.001 |
Platelets > 400 × 109/L | 0.92 (0.46–1.89) | 0.835 | 0.99 (0.23–4.15) | 0.985 | 3.38 (0.73–15.62) | 0.099 |
Hb/RDW < 8.8 | 0.91 (0.71–1.17) | 0.465 | 1.64 (1.12–2.39) | 0.011 | 4.98 (2.60–9.51) | <0.001 |
In-Hospital Death | ||||||
Variable | 1 Total Cohort (n = 1273) | 2 IHD (n = 361) | 3 IHD > 80 Years of Age (n = 277) | |||
OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value | |
Age > 80 years | 4.90 (1.95–12.33) | 0.001 | 5.04 (1.96–12.62) | <0.001 | NA | NA |
IHD | 2.10 (1.24–3.51) | 0.005 | NA | NA | 7.4 (2.55–21.51) | <0.001 |
LMR < 1.1 | 2.03 (1.18–3.49) | 0.010 | 5.19 (2.65–10.15) | <0.001 | 28.67 (6.39–128.70) | <0.001 |
PLR > 280.0 | 2.16 (1.26–3.68) | 0.005 | 5.58 (2.79–11.16) | <0.001 | 29.21 (6.49–131.42) | <0.001 |
Anaemia | 1.35 (0.79–2.30) | 0.270 | 3.39 (1.64–7.02) | 0.001 | 13.24 (2.97–58.98) | 0.001 |
Mon/Eos > 13.0 | 2.02 (1.17–3.48) | 0.011 | 3.93 (1.86–8.30) | <0.001 | 10.99 (2.48–48.69) | <0.001 |
NLR > 7.5 | 1.72 (1.00–2.96) | 0.051 | 3.62 (1.84–7.10) | <0.001 | 5.50 (2.01–15.07) | <0.001 |
Eos < 0.5 × 109/L | 2.44 (1.42–4.21) | 0.001 | 4.76 (2.30–9.84) | <0.001 | 13.96 (3.16–61.61) | 0.001 |
SIRI > 5.1 | 2.13 (1.23–3.67) | 0.007 | 3.95 (2.03–7.66) | <0.001 | 6.18 (2.27–16.77) | <0.001 |
Neutr/Alb × 10 > 2.4 | 1.69 (1.00–2.88) | 0.051 | 3.46 (1.72–6.98) | 0.001 | 23.06(3.04–175.15) | 0.002 |
Lymp < 1.2 × 109/L | 1.18 (0.68–2.03) | 0.561 | 2.54 (1.27–5.08) | 0.008 | 18.6 (2.46–140.86) | 0.005 |
Monocytes > 1.0 × 109/L | 0.91 (0.44–1.89) | 0.807 | 1.22 (0.36–4.12) | 0.75 | 3.35 (0.54–20.56) | 0.192 |
GGT/Lymp > 25.4 | 1.70 (1.00–2.89) | 0.050 | 3.34 (1.66–6.72) | 0.001 | 20.53 (2.70–156.06) | 0.004 |
SII > 1650.0 | 2.33 (1.32–4.13) | 0.004 | 4.63 (2.26–9.48) | <0.001 | 5.33 (1.95–14.63) | <0.001 |
Alb/RDW < 2.6 | 2.71 (1.53–4.79) | 0.001 | 2.23 (1.25–3.98) | 0.007 | 5.42 (2.41–12.19) | <0.001 |
RDW/Plt × 100 > 6.6 | 1.04 (0.61–1.78) | 0.882 | 2.13 (1.04–4.35) | 0.038 | 5.23 (1.47–18.57) | 0.005 |
Plt/ALT > 13.8 | 1.24 (0.73–2.08) | 0.424 | 2.61 (1.34–5.11) | 0.005 | 4.87 (1.75–13.57) | 0.001 |
Neutrophils > 7.5 × 109/L | 1.39 (0.80–2.43) | 0.240 | 2.80 (1.36–5.75) | 0.005 | 14.83 (1.96–112.48) | 0.009 |
RDW > 14.5% | 1.86 (1.09–3.16) | 0.022 | 3.93 (1.98–7.79) | <0.001 | 12.10 (3.64–70.42) | <0.001 |
Neut/Mon > 12.1 | 1.68 (0.98–2.87) | 0.057 | 3.39 (1.67–6.89) | 0.001 | 9.94 (2.26–43.72) | 0.002 |
ALT/Lymph < 14.6 | 0.57 (0.33–0.97) | 0.037 | 1.30 (0.61–2.76) | 0.488 | 5.75 (1.24–26.69) | 0.026 |
Alb < 33 g/L | 1.23 (0.66–2.27) | 0.512 | 3.33 (1.45–7.64) | 0.004 | 15.17 (3.87–59.53) | <0.001 |
Alb × Lymph/ < 25.4 | 1.38 (0.81–2.38) | 0.233 | 1.05 (0.43–2.35) | 0.921 | 3.03 (0.62–14.88) | 0.173 |
Plt/Alb ratio > 5.9 | 1.82 (1.05–3.16) | 0.032 | 3.95 (1.83–8.55) | <0.001 | 4.36 (1.55–12.27) | 0.003 |
Neutr/Eos > 156.3 | 2.49 (2.42–4.37) | 0.001 | 3.13 (1.75–5.57) | <0.001 | 2.39 (0.61–9.43) | 0.199 |
Hb/Alb > 4.6 | 1.81 (1.06–3.09) | 0.030 | 1.13 (0.40–2.56) | 0.768 | 3.63 (0.75–17.47) | 0.108 |
Platelets > 400 × 109/L | 1.65 (0.49–3.51) | 0.417 | 8.43 (1.64–43.38) | 0.011 | 35.87 (4.87–263.95) | <0.001 |
Hb/RDW < 8.8 | 1.92 (1.08–3.40) | 0.025 | 1.33 (0.53–3.34) | 0.544 | 2.34 (0.46–11.88) | 0.292 |
Abbreviations: As in Table 1, OR, odds ratio; CI, confidence interval; 1 adjusted for age, gender and all clinical variables which were significantly associated with postoperative myocardial injury and/or hospital mortality on univariate analyses; 2 comparison IHD patients with the rest of the cohort, adjusted for age (as a continues variable) and all clinical variables which were significantly associated with postoperative myocardial injury and/or hospital mortality on univariate analyses; 3 comparison IHD patients aged > 80 years and younger than 80 years with and without the analysed haematological characteristic. Significant p values are expressed in bold characters.