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. Author manuscript; available in PMC: 2018 Feb 1.
Published in final edited form as: Anesth Analg. 2017 Feb;124(2):398–405. doi: 10.1213/ANE.0000000000001736
Area under receiver operating characteristics (ROC)
curve, postoperative acute MI

Variable AUC 95% CI Vs.
RCRI
AUC
p-value
RCRI 0.590 (0.490, 0.690) -
RCRI + hs-cTnT > 14 0.699 (0.615, 0.783) 0.025
RCRI + NT-proBNP >300 0.653 (0.553, 0.753) 0.15
RCRI + hs-cTnT > 14
+ NT-proBNP >300
0.716 (0.636, 0.796) 0.015
Benefit of adding additional predictor(s) of postoperative acute MI to Lee’s RCRI
RCRI RCRI + hs-cTnT >
14
RCRI + NT-proBNP
>300
RCRI + hs-cTnT >
14 + NT-proBNP
>300
OR
(95% CI)
p-value OR
(95% CI)
p-value OR
(95% CI)
p-value OR
(95% CI)
p-value
Intercept - - - - - - - -
RCRI 1.56
(1.02,
2.37)
0.04 1.36
(0.89,
2.08)
0.15 1.38
(0.89,
2.12)
0.15 1.31
(0.84,
2.02)
0.23
hsTnT > 14 ng/L - - 3.63
(1.56,
8.45)
0.003 - - 3.15
(1.26,
7.86)
0.014
NT-proBNP
>300 ng/L
- - - - 2.27
(1.04,
4.96)
0.04 1.43
(0.61,
3.35)
0.41
Categroy-free
NRI*
0.66 (0.32, 0.99),
p <.001

• 45% of MIs were
  correctly
  reclassified

• 21% of non-MIs
  were correctly
  reclassified
0.46 (0.09, 0.84),
p = 0.015

• 10% of MIs were
  correctly
  reclassified

• 36% of non-MIs
  were correctly
  reclassified
0.66 (0.32, 0.99),
p <.001

• 45% of MIs were
  correctly
  reclassified

• 21% of non-MIs
  were correctly
  reclassified
*
Correct reclassification occurs when the addition of a biomarker to RCRI leads to improved classification of events (MIs) and non-events (no MI observed) of patients.