Skip to main content

Table 4 Predictors of a lower overall long-term survival by univariate and multivariate Cox proportional hazard regression analysis

From: Long-term survival after mitral valve surgery for post-myocardial infarction papillary muscle rupture

 

Univariate analysis

Multivariate analysis

Variable

HR

95% CI

P value

HR

95% CI

P value

Age, y

1.07

(1.02-1.11)

0.003

Logistic EuroSCORE, %

1.07

(1.04-1.09)

<0.001

1.06

(1.03-1.09)

<0.001a

EuroSCORE II, %

1.07

(1.04-1.10)

<0.001

1.06

(1.02-1.09)

0.002b

Logistic EuroSCORE ≥40%

14.28

(5.65-36.11)

<0.001

16.69

(4.23-65.84)

<0.001c

EuroSCORE II ≥25%

6.16

(2.81-13.48)

<0.001

4.31

(1.67-11.14)

0.003d

Preoperative LVEF <30%

4.31

(1.58-11.81)

0.004

PAP (systolic), mmHg

1.03

(1.00-1.06)

0.069

PAP (diastolic), mmHg

1.04

(1.00-1.08)

0.071

Mean PAP, mmHg

1.04

(1.00-1.08)

0.059

Preoperative inotropic drug support

3.51

(1.56-7.90)

0.002

6.27

(1.97-19.95)

0.002e

Preoperative IABP requirement

2.69

(1.25-5.77)

0.011

Serum creatinine, μmol/L

1.00

(1.00-1.01)

0.059

Acute renal failure

2.29

(0.96-5.48)

0.062

Cardiogenic shock

3.37

(1.35-8.41)

0.009

Salvage/Emergent mitral valve surgery

2.56

(1.08-6.06)

0.032

MVR without preservation of the subvalvular apparatus

2.60

(1.23-5.46)

0.012

3.40

(1.19-9.69)

0.022e

No concomitant CABG

1.89

(0.89-4.01)

0.098

Concomitant septal rupture

4.17

(0.94-18.54)

0.061

Cardiopulmonary bypass time, min

1.01

(1.00-1.01)

0.026

Intraoperative IABP requirement

2.99

(1.37-6.51)

0.006

  1. aModel 1; bModel 2; cModel 3; dModel 4; eModel 5.
  2. CABG = coronary artery bypass grafting; CI = confidence interval; HR = hazard ratio; IABP = intra-aortic balloon pump; LVEF = left ventricular ejection fraction; MVR = mitral valve replacement; PAP = pulmonary artery pressure.