Table V.
Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) endovascular aneurysm repair (EVAR) model for postoperative myocardial infarction (POMI)
|
EVAR
|
||
|---|---|---|
| Variable in model | OR (95% CI) | P value |
| Age continuous | 1.0 (1.0-1.1) | <.001 |
| Creatinine | ||
| ≥1.8 mg/dL or dialysis | 2.0 (1.2-3.3) | .006 |
| Stress test | ||
| Normal vs not done | 0.9 (0.6-1.3) | .50 |
| Abnormal vs not done | 1.4 (0.9-2.1) | .08 |
| CAD | ||
| Asymptomatic vs none | 1.4 (1.0-1.9) | .02 |
| Symptomatic vs none | 1.9 (1.3-2.6) | <.001 |
| Diabetes | 1.5 (1.1-2.0) | .007 |
| CHF symptomatic vs asymptomatic/ none |
2.7 (1.7-4.2) | <.001 |
| Urgency symptomatic | 2.4 (1.6-3.8) | <.001 |
| AAA diameter, mm | ||
| 55-60 vs <55 | 1.0 (0.69-1.6) | .87 |
| >60 vs <55 | 1.5 (1.0-2.2) | .05 |
| COPD | ||
| Untreated vs none | 1.5 (1.0-2.2) | .05 |
| Medication/oxygen vs none | 1.2 (0.90-1.6) | .20 |
| History of bypass | 1.7 (0.8-3.8) | .16 |
| AUC, derivation | 0.76 (0.73-0.80) | — |
| AUC, internal validation | 0.73 (0.70-0.78) | — |
| AUC, external validation | 0.73 (0.68-0.78) | — |
AAA, Abdominal aortic aneurysm; AUC, area under receiver operating characteristic curve; CAD, coronary artery disease; CHF, congestive heart failure; CI, confidence interval; COPD, chronic obstructive pulmonary disease; OR, odds ratio.