Table 2.
Independent preoperative predictors of mortality (logistic regression analysis) and the deriving scoring system for mortality prediction in native valve IE.
B coeff. | OR (95% CI) | P | Score | |
---|---|---|---|---|
Age | ||||
40–49 years | 5 | |||
50–59 years |
1.042 (1.015–1.020) |
7 | ||
60–69 years | 0.041 | 0.002 | 9 | |
70–79 years | 11 | |||
≥80 years | 13 | |||
| ||||
Renal failure1 | 1.076 | 3.033 (1.338–6.876) |
0.013 | 5 |
| ||||
NYHA class IV | 1.777 | 5.913 (2.569–13.612) |
<0.001 | 9 |
| ||||
Ventilatory support2 | 2.281 | 9.784 (3.178–30.117) |
<0.001 | 11 |
| ||||
Positivity of latest pre-op. blood culture3 |
1.093 | 2.982 (1.304–6.821) |
0.010 | 5 |
| ||||
Perivalvular involvement4 | 1.110 | 3.033 (1.338–6.876) |
0.008 | 5 |
1Creatinine >2 mg/dL.
2Patients admitted to the Cardiac Surgery Department on mechanical ventilation (intubated) or requiring ventilatory support by noninvasive ventilation during preoperative stay (generally for poor hemodynamic conditions and/or pulmonary edema).
3This variable identified operation without possibility of previous attainment of negative cultures by antibiotic therapy (latest culture had always been performed within 5 to 7 days preoperatively).
4Either annular abscess or aortocavitary fistula.