Table 5.
Factors independently associated with long term mortality following valve surgery in Cox proportional hazard modelling and the significance of the relationship of the model
| Hazard Ratio (95 % CI) | All | RHD-related | Non-RHD |
|---|---|---|---|
| Age (/additional year) | 1.03 (1.02 – 1.04) | 1.03 (1.01 – 1.05) | 1.03 (1.02 – 1.04) |
| Pre-operative comorbidities | |||
| Diabetes | 1.4 (1.2 – 1.6) | 1.7 (1.1 – 2.5) | 1.4 (1.2 – 1.6) |
| Chronic kidney disease | 1.5 (1.3 – 1.7) | 1.9 (1.2 – 2.9) | 1.4 (1.3 – 1.6) |
| Pre-operative status | |||
| NYHA III & IV | 1.3 (1.1 – 1.4) | - | 1.3 (1.1 – 1.4) |
| Atrial fibrillation | 1.4 (1.2 – 1.6) | - | 1.5 (1.3 – 1.7) |
| LVEF >45 % | 0.7 (0.6 – 0.8) | - | 0.7 (0.6 – 0.8) |
| Operative procedure | |||
| Mechanical valve | 0.8 (0.7 – 0.9) | - | 0.8 (0.7 – 0.9) |
| Valve repair only | 0.8 (0.6 – 0.9) | - | 0.8 (0.6 – 0.9) |
| Multiple valve surgery | - | - | 1.4 (1.1 – 1.7) |
| Initial admission | |||
| ICU stay (>43 h) | 1.2 (1.1 – 1.4) | - | 1.3 (1.1 – 1.4) |
| Ventilation time (>11 h) | - | 1.7 (1.1 – 2.9) | - |
| Post procedure LOS (/additional day) | 1.01 (1.00 – 1.01) | 1.02 (1.01 – 1.03) | 1.00 (1.00 – 1.01) |
| Complications within 30 days | |||
| Readmission | 1.4 (1.2 – 1.6) | - | 1.4 (1.2 – 1.7) |
| Acute kidney injury | 1.9 (1.6 – 2.3) | - | 1.9 (1.6 – 2.3) |
| Stroke/ TIA | 1.6 (1.2 – 2.1) | - | 1.7 (1.3 – 2.2) |
| Septicaemia | 2.1 (1.6 – 2.8) | - | 2.2 (1.6 – 2.9) |
| Significance of model (based on −2 Log Likelihood) | <0.001 | <0.001 | <0.001 |