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. 2016 Aug 8;47(4):445–456. doi: 10.1007/s00595-016-1395-4

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