Table 5.
Multivariable Predictors of Major Adverse Cardiac Events (MACE)
Predictor | Without AT activity information in model (n = 1403; r2 = 0.156) |
||
---|---|---|---|
Odds ratio | 95% confidence interval | P | |
Age | |||
<55 yr | 1.00 | — | |
55–64 yr | 1.26 | 0.72–2.21 | |
65–74 yr | 1.26 | 0.70–2.28 | |
75–84 tears | 1.66 | 0.86–3.20 | |
≥85 yr | 0.70 | 0.11–4.36 | 0.58 |
Gender (female) | 1.13 | 0.72–1.78 | 0.60 |
Race (Caucasian) | 0.59 | 0.36–0.95 | 0.03 |
Body mass index | |||
<20 | 0.67 | 0.15–3.04 | |
20–24.9 | 0.52 | 0.28–0.96 | |
25–34.9 | 0.48 | 0.30–0.77 | |
≥35 | 1.00 | — | 0.03 |
Institution | 0.73 | 0.44–1.21 | 0.22 |
Myocardial infarction <2 wk prior | 1.70 | 1.11–2.59 | 0.014 |
Prior peripheral vascular procedure | 3.38 | 1.53–7.46 | 0.003 |
Perfusion time (10 min increment) | 1.09 | 1.05–1.14 | <0.0001 |
Concurrent other cardiac procedure | 1.47 | 0.82–2.67 | 0.20 |
Preoperative or intraoperative IABP | 4.02 | 2.18–7.42 | <0.0001 |
RBC transfusion during hospital stay (per unit) | 1.10 | 1.04–1.16 | 0.0004 |
Additional Predictive Value of AT Activity at Each Time Point Added to the Clinical Model | ||||
---|---|---|---|---|
AT activity (0.1 IU/mL decrease) | Odds Ratio | 95% Confidence interval | P value of AT variable | P value of improvement in overall model |
Preoperative AT activity | 0.98 | 0.85–1.13 | 0.7820 | 0.7822 |
Postoperative AT activity | 1.10 | 0.91–1.31 | 0.3193 | 0.3179 |
POD 1 AT activity | 1.13 | 0.96–1.33 | 0.1565 | 0.1543 |
POD 2 AT activity | 1.26 | 1.07–1.48 | 0.0056 | 0.0053 |
POD 3 AT activity | 1.19 | 1.01–1.41 | 0.0412 | 0.0399 |
POD 4 AT activity | 1.17 | 1.00–1.37 | 0.0506 | 0.0493 |
POD 5 AT activity | 1.17 | 1.00–1.37 | 0.0553 | 0.0546 |
Change in AT activity Post-CPBa | 1.15 | 0.93–1.41 | 0.1888 | 0.4058 |
Change in AT activity Day 1a | 1.20 | 1.00–1.45 | 0.0558 | 0.1394 |
Change in AT activity Day 2a | 1.36 | 1.13–1.62 | 0.0009 | 0.0035 |
Change in AT activity Day 3a | 1.26 | 1.04–1.52 | 0.0163 | 0.0525 |
Change in AT activity Day 4a | 1.26 | 1.06–1.51 | 0.0104 | 0.0294 |
Change in AT activity Day 5a | 1.20 | 1.01–1.44 | 0.0407 | 0.1201 |
Refers to change in AT activity from the baseline level.
AT = antithrombin; RBC = red blood cell; POD = postoperative day.