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. 2021 Mar 22;110(11):1743–1756. doi: 10.1007/s00392-021-01836-9

Table 3.

Univariable and multivariable Cox regression analyses of chest X-ray variables and formation of the chest X-ray score

Outcome: all-cause mortality Hazard ratio (95% CI) Wald X2 P value Hazard ratio (95% CI) β-coefficient Score
Alveolar oedema
 Absent Referent Referent Referent Referent Referent 0
 Present 1.20 (0.98–1.47) 1.71 0.09 1.04 (0.84–1.31) 0.05 1
 Severe 1.67 (1.22–2.28) 3.20 0.001 1.35 (0.97–1.88) 0.30 3
Kerley B lines
 Absent Referent Referent Referent Referent Referent 0
 Present 1.28 (1.04–1.59) 2.30 0.02 1.21 (0.98–1.51) 0.19 2
 Cardiothoracic ratio
 ≤ 0.55 Referent Referent Referent Referent Referent 0
 0.55–0.70 1.21 (0.96–1.52) 1.62 0.10 1.12 (0.89–1.41) 0.12 1
 > 0.70/unmeasurable 1.84 (1.35–2.50) 3.84  < 0.001 1.60 (1.16–2.19) 0.46 5
Chest X-ray projection
 Posterior-anterior Referent Referent Referent Referent Referent 0
 Anterior–posterior 1.13 (1.07–1.20) 4.28  < 0.001 1.47 (1.17–1.86) 0.38 4
Pleural effusions
 Absent Referent Referent Referent Referent Referent 0
 Present 1.29 (1.05–1.59) 2.47 0.01 1.12 (0.89–1.40) 0.11 1
Pulmonary venous congestion
 Absent Referent Referent Referent N/A N/A N/A
 Present 1.06 (0.85–1.33) 0.53 0.60 N/A N/A N/A
Chest X-ray score
 Chest X-ray score 1.10 (1.07–1.13) 6.15  < 0.001 N/A N/A N/A

The score was constructed using the beta-coefficients (log hazard ratio) of a multivariable model, containing only chest X-ray variables that were significantly related to all-cause mortality on univariable analysis (p < 0.1). These variables were: alveolar oedema, Kerley B lines, cardiothoracic ratio, chest X-ray projection and pleural effusions. For example, the beta coefficient for Kerley B lines from the multivariate analysis is 0.19—which was rounded to 0.2 multiplied by 100 to give 2 points

CI confidence intervals, N/A not applicable