Table 2.
The univariate and multivariate analysis of risk factors for severe TR after mitral valve surgery in the early-period patients (1987–1997)
Factors | Number (frequency, %) | Univariate analysis | Multivariate analysis | ||
---|---|---|---|---|---|
HR (95 % CI)a | P valuec | Adjusted HR (95 % CI)a | Adjusted P value | ||
Age >50 years | 40 (74.1) | 4.28 (0.99–8.5) | 0.034 | ||
Male sex | 25 (46.3) | 0.71 (0.29–1.75) | 0.457 | ||
BSA ≥1.50 m2 | 19 (35.2) | 0.50 (0.18–1.39) | 0.175 | ||
Rheumatic disease | 39 (72.2) | 2.15 (0.63–7.37) | 0.210 | ||
Mitral stenosis dominant | 34 (63.0) | 2.27 (0.65–6.79) | 0.133 | ||
Acute onset of MV disease (<1 month) | 3 (5.6) | NEb | 0.263 | ||
Concomitant aortic valve surgery | 19 (35.2) | 1.72 (0.69–4.26) | 0.236 | ||
Redo surgery | 11 (20.4) | 0.89 (0.30–2.68) | 0.841 | ||
Pulmonary hypertension | 36 (66.7) | 1.42 (0.54–3.73) | 0.469 | ||
Atrial fibrillation | 38 (70.4) | 4.91 (1.14–21.21) | 0.018 | 3.97 (0.90–17.5) | 0.068 |
MV repair | 1 (1.9) | NEb | 0.495 | ||
Maze procedure | 1 (1.9) | NEb | 0.495 | ||
Moderate (2+) TR | 13 (24.1) | 3.89 (1.54–9.84) | 0.002 | 3.08 (1.21–7.82) | 0.018 |
TAD ≥35 mm | 32 (59.3) | 1.39 (0.57–3.42) | 0.470 | ||
Indexed TAD ≥21 mm/m2 | 36 (66.7) | 1.48 (0.57–3.86) | 0.424 | ||
LAD ≥60 mm | 22 (40.7) | 1.66 (0.69–4.02) | 0.253 | ||
Indexed LAD ≥35 mm/m2 | 36 (66.7) | 3.87 (1.13–13.26) | 0.020 | ||
LVDd ≥55 mm | 24 (44.4) | 0.59 (0.24–1.49) | 0.262 | ||
Indexed LVDd ≥35 mm/m2 | 25 (46.3) | 0.92 (0.38–2.23) | 0.854 | ||
LVDs ≥40 mm | 20 (37.0) | 0.52 (0.19–1.43) | 0.197 | ||
Indexed LVDs ≥25 mm/m2 | 23 (42.6) | 1.20 (0.50–2.89) | 0.691 | ||
LVEF <0.65 | 24 (44.4) | 0.91 (0.37–2.24) | 0.843 |
TR tricuspid regurgitation, HR hazard ratio, BSA body surface area, MV mitral valve, LAD left atrial dimension, LVDd left ventricular diastolic dimension, LVDs left ventricular systolic dimension, LVEF left ventricular ejection fraction, TAD tricuspid annular diameter, CI confidence interval, NE not estimable
aThe HRs and 95 % CIs were estimated using the Cox proportional-hazards model
bThe numbers of patients with an acute onset of MV disease (<1 month), MV repair, and the maze procedure were small. Thus, the parameters of these factors were not estimable
cThe P values were based on the log-rank test