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. 2009 Apr 30;30(13):1574–1583. doi: 10.1093/eurheartj/ehp134

Table 2.

Predictors of hospital length of stay and mortality in the test cohort

All-cause mortality
Hospital length of stay
Univariate Cox
Multivariate Cox
Univariate Cox
Multivariate Cox
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.