Table 2.
All-cause mortality |
Hospital length of stay |
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---|---|---|---|---|---|---|---|---|
Univariate Cox |
Multivariate Cox |
Univariate Cox |
Multivariate Cox |
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Demographics and past medical history | HR (95% CI) | P-value | HR (95% CI) | P-value | HR (95% CI) | P-value | HR (95% CI) | P-value |
Age (decade) | 1.87 (1.31–2.68) | <0.001 | 1.83 (1.25–2.68) | 0.002 | 1.19 (1.11–1.28) | <0.001 | 1.17 (1.08–1.27) | <0.001 |
Gender (female) | 0.55 (0.19–1.57) | 0.267 | 0.39 (0.13–1.17) | 0.095 | 1.04 (0.84–1.29) | 0.683 | 0.95 (0.76–1.19) | 0.674 |
Race (Caucasian) | N/A | 0.989 | N/A | 0.988 | 1.08 (0.81–1.45) | 0.565 | 1.20 (0.88–1.64) | 0.226 |
Diabetes (treated) | 0.82 (0.37–1.83) | 0.632 | 0.96 (0.80–1.16) | 0.749 | ||||
Pulmonary disease | 3.76 (1.32–10.7) | 0.013 | 1.21 (0.78–1.85) | 0.382 | ||||
Hypercholesterolemia | 0.37 (0.18–0.75) | 0.005 | 0.74 (0.60–0.92) | 0.007 | ||||
Previous MI | 1.17 (0.56–2.47) | 0.674 | 1.20 (0.99–1.46) | 0.061 | ||||
Hypertension | 0.42 (0.21–0.84) | 0.014 | 0.33 (0.16–0.67) | 0.002 | 1.28 (1.05–1.55) | 0.013 | 1.27 (1.04–1.56) | 0.019 |
LV ejection fraction (5% increment) | 0.85 (0.75–0.96) | 0.015 | 0.86 (0.75–0.98) | 0.024 | 0.94 (0.91–0.97) | 0.002 | 0.96 (0.93–0.99) | 0.034 |
Pre-operative laboratory results | ||||||||
Creatinine (mg/dL) | 2.70 (0.11–65.6) | 0.542 | 3.38 (1.49–7.63) | 0.003 | ||||
Haematocrit (%) | 0.94 (0.87–1.02) | 0.112 | 0.91 (0.84–0.99) | 0.045 | 0.97 (0.95–0.99) | 0.015 | ||
Pre-operative drugs | ||||||||
ACE-inhibitor | 0.68 (0.34–1.39) | 0.291 | 1.11 (0.94–1.32) | 0.196 | ||||
Antiarrhythmic | 1.77 (0.42–7.42) | 0.433 | 2.06 (1.23–3.46) | 0.006 | 1.75 (1.01–3.05) | 0.046 | ||
Digoxin | 7.30 (2.82–18.9) | <0.001 | 2.35 (1.35–4.09) | 0.002 | 2.15 (1.20–3.87) | 0.01 | ||
β-Blocker | 0.57 (0.27–1.20) | 0.14 | 0.93 (0.75–1.16) | 0.578 | ||||
Ca2+ Channel inhibitor | 0.83 (0.29–2.37) | 0.729 | 1.30 (1.02–1.67) | 0.034 | 1.37 (1.06–1.79) | 0.016 | ||
Platelet-inhibitor (non-ASA) | 0.30 (0.07–1.27) | 0.102 | 1.42 (1.14–1.78) | 0.002 | 1.58 (1.25–2.01) | <0.001 | ||
Diuretic | 1.45 (0.67–3.12) | 0.345 | 1.31 (1.07–1.62) | 0.009 | ||||
HMG Co-A reductase inhibitor | 0.37 (0.18–0.74) | 0.005 | 0.68 (0.54–0.85) | <0.001 | 0.59 (0.47–0.75) | <0.001 | ||
Intraoperative characteristics | ||||||||
Aortic cross-clamp duration (30 min increment) | 0.74 (0.50–1.10) | 0.15 | 1.12 (1.02–1.22) | 0.009 | ||||
CPB duration (30 min increment) | 0.88 (0.65–1.19) | 0.461 | 1.19 (1.11–1.28) | <0.001 | 1.19 (1.10–1.29) | <0.001 | ||
Euroscore (logistic, 10% increment) | 1.76 (1.06–2.91) | 0.027 | 1.75 (1.37–2.23) | <0.001 | ||||
Post-operative ECG | ||||||||
Last ECG-MI3, 4 | 0.61 (0.25–1.5) | 0.288 | 0.84 (0.69–1.03) | 0.1 | ||||
Last ECG-MI4 | 0.48 (0.16–1.36) | 0.17 | 0.87 (0.71–1.08) | 0.223 | ||||
Highest ECG-MI3, 4 | 1.13 (0.57–2.24) | 0.724 | 1.08 (0.91–1.29) | 0.335 | ||||
Highest ECG-MI4 | 1.21 (0.60–2.43) | 0.587 | 1.12 (0.94–1.35) | 0.189 | ||||
Lowest ECG-MI3, 4 | 0.31 (0.04–2.29) | 0.254 | 0.86 (0.63–1.18) | 0.374 | ||||
Lowest ECG-MI4 | N/A | 0.984 | 0.90 (0.64–1.28) | 0.589 | ||||
Median ECG-MI3, 4 | 0.37 (0.11–1.22) | 0.105 | 0.83 (0.67–1.03) | 0.108 | ||||
Median ECG-MI4 | 0.49 (0.15–1.63) | 0.251 | 0.90 (0.71–1.14) | 0.411 | ||||
Cardiac biomarkers | ||||||||
CKMB Preoperative (25 µg/L increment) | 3.82 (0.03–412) | 0.574 | 2.40 (0.51–11.2) | 0.264 | ||||
CKMB POD1 (25 µg/L increment) | 1.17 (0.99–1.37) | 0.056 | 1.12 (1.07–1.18) | <0.001 | ||||
cTnI Preoperative (1 µg/L increment) | 0.20 (0.00–23.7) | 0.513 | 1.05 (0.77–1.44) | 0.717 | ||||
cTnI POD1 (10 µg/L increment) | 1.35 (1.10–1.66) | 0.003 | 1.21 (1.08–1.36) | <0.001 |
Variables shown in multivariable model columns are included in Cox proportional hazards analysis. Data are shown in respective increments to show better inter-variable distinction. HR, hazard ratio; CI, confidence interval; MI, myocardial infarction; LV, left ventricle; Ca2+, calcium; ASA, acetylsalicylic acid; HMG, 3-hydroxy-3-methyl-glutaryl-CoA reductase; CPB, cardiopulmonary bypass; ECG, electrocardiogram; CKMB creatinine kinase MB fraction; cTnI, cardiac troponin I; POD, post-operative day.