Logistic regression analyses for predictors of 30-day major adverse cardiovascular event rate
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
---|---|---|---|
A. Univariate logistic regression analysis . | |||
Post-operative hs-cTnI quartiles | <0.001 | ||
2nd quartile | 0.76 | 0.42–1.4 | 0.38 |
3rd quartile | 0.97 | 0.49–1.9 | 0.93 |
4th quartile | 17.7 | 11.9–26.4 | <0.001 |
hs-cTnI >13 000 ng/L | 21.2 | 15.1–29.7 | <0.001 |
Age | 1.03 | 1.01–1.05 | 0.001 |
EuroSCORE II | 1.11 | 1.07–1.15 | <0.001 |
Statin use | 0.57 | 0.41–0.81 | 0.001 |
CPB use | 3.27 | 2.29–4.67 | <0.001 |
Time on CPB | 1.01 | 1.009–1.02 | <0.001 |
LVEF | 0.98 | 0.97–0.99 | 0.004 |
History of AF | 2.0 | 1.1–3.7 | 0.02 |
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
---|---|---|---|
A. Univariate logistic regression analysis . | |||
Post-operative hs-cTnI quartiles | <0.001 | ||
2nd quartile | 0.76 | 0.42–1.4 | 0.38 |
3rd quartile | 0.97 | 0.49–1.9 | 0.93 |
4th quartile | 17.7 | 11.9–26.4 | <0.001 |
hs-cTnI >13 000 ng/L | 21.2 | 15.1–29.7 | <0.001 |
Age | 1.03 | 1.01–1.05 | 0.001 |
EuroSCORE II | 1.11 | 1.07–1.15 | <0.001 |
Statin use | 0.57 | 0.41–0.81 | 0.001 |
CPB use | 3.27 | 2.29–4.67 | <0.001 |
Time on CPB | 1.01 | 1.009–1.02 | <0.001 |
LVEF | 0.98 | 0.97–0.99 | 0.004 |
History of AF | 2.0 | 1.1–3.7 | 0.02 |
B. Multivariate logistic regression analysis for CV outcomes (females and males) . | |||
---|---|---|---|
hs-cTnI >13 000 ng/L | 21.9 | 15.5–30.8 | <0.001 |
EuroSCORE II | 1.10 | 1.05–1.14 | 0.001 |
Statin use | 0.65 | 0.46–0.93 | 0.02 |
B. Multivariate logistic regression analysis for CV outcomes (females and males) . | |||
---|---|---|---|
hs-cTnI >13 000 ng/L | 21.9 | 15.5–30.8 | <0.001 |
EuroSCORE II | 1.10 | 1.05–1.14 | 0.001 |
Statin use | 0.65 | 0.46–0.93 | 0.02 |
C. Multivariate analysis for 30-day MACE applying gender-specific cut-off values . | |||
---|---|---|---|
Females (>9400 ng/L) Males (>13 300 ng/L) | 20.1 | 14.3–28.2 | <0.001 |
EuroSCORE II | 1.1 | 1.05–1.13 | <0.001 |
Statin use | 0.66 | 0.46–0.93 | 0.007 |
C. Multivariate analysis for 30-day MACE applying gender-specific cut-off values . | |||
---|---|---|---|
Females (>9400 ng/L) Males (>13 300 ng/L) | 20.1 | 14.3–28.2 | <0.001 |
EuroSCORE II | 1.1 | 1.05–1.13 | <0.001 |
Statin use | 0.66 | 0.46–0.93 | 0.007 |
D. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the study cohort . | ||||
---|---|---|---|---|
Threshold . | Events/total . | Adjusted odds ratioa . | 95% confidence interval . | P-value . |
<10×URL | 1/131 | 1.0 | Reference | |
≥10–<35× URL | 7/572 | 1.4 | 0.17–11.7 | 0.74 |
≥35–<70×URL | 17/1053 | 1.9 | 0.25–14.3 | 0.54 |
≥70–<500×URL | 40/2541 | 1.8 | 0.24–13.0 | 0.58 |
≥500×URL | 94/387 | 34.5 | 4.6–250.8 | <0.001 |
D. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the study cohort . | ||||
---|---|---|---|---|
Threshold . | Events/total . | Adjusted odds ratioa . | 95% confidence interval . | P-value . |
<10×URL | 1/131 | 1.0 | Reference | |
≥10–<35× URL | 7/572 | 1.4 | 0.17–11.7 | 0.74 |
≥35–<70×URL | 17/1053 | 1.9 | 0.25–14.3 | 0.54 |
≥70–<500×URL | 40/2541 | 1.8 | 0.24–13.0 | 0.58 |
≥500×URL | 94/387 | 34.5 | 4.6–250.8 | <0.001 |
E. Univariate logistic regression analysis of derived hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||
---|---|---|---|
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
hs-cTnI > 13 000 ng/L | 17.5 | 6.0–51.2 | <0.001 |
Gender-specific cut-off values | 5.97 | 1.21–29.4 | 0.013 |
E. Univariate logistic regression analysis of derived hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||
---|---|---|---|
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
hs-cTnI > 13 000 ng/L | 17.5 | 6.0–51.2 | <0.001 |
Gender-specific cut-off values | 5.97 | 1.21–29.4 | 0.013 |
F. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||||
---|---|---|---|---|---|
Threshold . | Events/total . | Univariate OR (95% CI) . | Univariate P-value . | Adjusteda OR (95% CI) . | P-value . |
<35×URLb | 3/184 (1.6) | 1.0 | — | 1.0 (reference) | — |
≥35–<70× URL | 3/186 (1.6) | 1.26 (0.30–5.35) | 0.75 | 1.35 (0.31–5.82) | 0.69 |
≥70–<500× URL | 10/240 (4.2) | 2.17 (0.61–7.80) | 0.22 | 2.43 (0.64–9.12) | 0.19 |
≥500× URL | 6/18 (33) | 26.2 (6.73–102) | <0.001 | 37.9 (8.85–163) | <0.001 |
F. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||||
---|---|---|---|---|---|
Threshold . | Events/total . | Univariate OR (95% CI) . | Univariate P-value . | Adjusteda OR (95% CI) . | P-value . |
<35×URLb | 3/184 (1.6) | 1.0 | — | 1.0 (reference) | — |
≥35–<70× URL | 3/186 (1.6) | 1.26 (0.30–5.35) | 0.75 | 1.35 (0.31–5.82) | 0.69 |
≥70–<500× URL | 10/240 (4.2) | 2.17 (0.61–7.80) | 0.22 | 2.43 (0.64–9.12) | 0.19 |
≥500× URL | 6/18 (33) | 26.2 (6.73–102) | <0.001 | 37.9 (8.85–163) | <0.001 |
hs-cTnI, high-sensitivity cardiac troponin I; MACE, major adverse cardiovascular events; CPB, cardiopulmonary bypass; LVEF, left ventricular ejection fraction; AF, atrial fibrillation; URL, upper reference limit.
Adjusted for EuroSCORE II and statin use.
Zero outcomes for the group of <10×URL (0/22), so group combined with 10–<35× URL as reference.
Logistic regression analyses for predictors of 30-day major adverse cardiovascular event rate
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
---|---|---|---|
A. Univariate logistic regression analysis . | |||
Post-operative hs-cTnI quartiles | <0.001 | ||
2nd quartile | 0.76 | 0.42–1.4 | 0.38 |
3rd quartile | 0.97 | 0.49–1.9 | 0.93 |
4th quartile | 17.7 | 11.9–26.4 | <0.001 |
hs-cTnI >13 000 ng/L | 21.2 | 15.1–29.7 | <0.001 |
Age | 1.03 | 1.01–1.05 | 0.001 |
EuroSCORE II | 1.11 | 1.07–1.15 | <0.001 |
Statin use | 0.57 | 0.41–0.81 | 0.001 |
CPB use | 3.27 | 2.29–4.67 | <0.001 |
Time on CPB | 1.01 | 1.009–1.02 | <0.001 |
LVEF | 0.98 | 0.97–0.99 | 0.004 |
History of AF | 2.0 | 1.1–3.7 | 0.02 |
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
---|---|---|---|
A. Univariate logistic regression analysis . | |||
Post-operative hs-cTnI quartiles | <0.001 | ||
2nd quartile | 0.76 | 0.42–1.4 | 0.38 |
3rd quartile | 0.97 | 0.49–1.9 | 0.93 |
4th quartile | 17.7 | 11.9–26.4 | <0.001 |
hs-cTnI >13 000 ng/L | 21.2 | 15.1–29.7 | <0.001 |
Age | 1.03 | 1.01–1.05 | 0.001 |
EuroSCORE II | 1.11 | 1.07–1.15 | <0.001 |
Statin use | 0.57 | 0.41–0.81 | 0.001 |
CPB use | 3.27 | 2.29–4.67 | <0.001 |
Time on CPB | 1.01 | 1.009–1.02 | <0.001 |
LVEF | 0.98 | 0.97–0.99 | 0.004 |
History of AF | 2.0 | 1.1–3.7 | 0.02 |
B. Multivariate logistic regression analysis for CV outcomes (females and males) . | |||
---|---|---|---|
hs-cTnI >13 000 ng/L | 21.9 | 15.5–30.8 | <0.001 |
EuroSCORE II | 1.10 | 1.05–1.14 | 0.001 |
Statin use | 0.65 | 0.46–0.93 | 0.02 |
B. Multivariate logistic regression analysis for CV outcomes (females and males) . | |||
---|---|---|---|
hs-cTnI >13 000 ng/L | 21.9 | 15.5–30.8 | <0.001 |
EuroSCORE II | 1.10 | 1.05–1.14 | 0.001 |
Statin use | 0.65 | 0.46–0.93 | 0.02 |
C. Multivariate analysis for 30-day MACE applying gender-specific cut-off values . | |||
---|---|---|---|
Females (>9400 ng/L) Males (>13 300 ng/L) | 20.1 | 14.3–28.2 | <0.001 |
EuroSCORE II | 1.1 | 1.05–1.13 | <0.001 |
Statin use | 0.66 | 0.46–0.93 | 0.007 |
C. Multivariate analysis for 30-day MACE applying gender-specific cut-off values . | |||
---|---|---|---|
Females (>9400 ng/L) Males (>13 300 ng/L) | 20.1 | 14.3–28.2 | <0.001 |
EuroSCORE II | 1.1 | 1.05–1.13 | <0.001 |
Statin use | 0.66 | 0.46–0.93 | 0.007 |
D. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the study cohort . | ||||
---|---|---|---|---|
Threshold . | Events/total . | Adjusted odds ratioa . | 95% confidence interval . | P-value . |
<10×URL | 1/131 | 1.0 | Reference | |
≥10–<35× URL | 7/572 | 1.4 | 0.17–11.7 | 0.74 |
≥35–<70×URL | 17/1053 | 1.9 | 0.25–14.3 | 0.54 |
≥70–<500×URL | 40/2541 | 1.8 | 0.24–13.0 | 0.58 |
≥500×URL | 94/387 | 34.5 | 4.6–250.8 | <0.001 |
D. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the study cohort . | ||||
---|---|---|---|---|
Threshold . | Events/total . | Adjusted odds ratioa . | 95% confidence interval . | P-value . |
<10×URL | 1/131 | 1.0 | Reference | |
≥10–<35× URL | 7/572 | 1.4 | 0.17–11.7 | 0.74 |
≥35–<70×URL | 17/1053 | 1.9 | 0.25–14.3 | 0.54 |
≥70–<500×URL | 40/2541 | 1.8 | 0.24–13.0 | 0.58 |
≥500×URL | 94/387 | 34.5 | 4.6–250.8 | <0.001 |
E. Univariate logistic regression analysis of derived hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||
---|---|---|---|
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
hs-cTnI > 13 000 ng/L | 17.5 | 6.0–51.2 | <0.001 |
Gender-specific cut-off values | 5.97 | 1.21–29.4 | 0.013 |
E. Univariate logistic regression analysis of derived hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||
---|---|---|---|
Variable . | Odds ratio . | 95% confidence interval . | P-value . |
hs-cTnI > 13 000 ng/L | 17.5 | 6.0–51.2 | <0.001 |
Gender-specific cut-off values | 5.97 | 1.21–29.4 | 0.013 |
F. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||||
---|---|---|---|---|---|
Threshold . | Events/total . | Univariate OR (95% CI) . | Univariate P-value . | Adjusteda OR (95% CI) . | P-value . |
<35×URLb | 3/184 (1.6) | 1.0 | — | 1.0 (reference) | — |
≥35–<70× URL | 3/186 (1.6) | 1.26 (0.30–5.35) | 0.75 | 1.35 (0.31–5.82) | 0.69 |
≥70–<500× URL | 10/240 (4.2) | 2.17 (0.61–7.80) | 0.22 | 2.43 (0.64–9.12) | 0.19 |
≥500× URL | 6/18 (33) | 26.2 (6.73–102) | <0.001 | 37.9 (8.85–163) | <0.001 |
F. Logistic regression analysis of different hs-cTnI thresholds to predict 30-day MACE in the external validation cohort from The Alfred Hospital . | |||||
---|---|---|---|---|---|
Threshold . | Events/total . | Univariate OR (95% CI) . | Univariate P-value . | Adjusteda OR (95% CI) . | P-value . |
<35×URLb | 3/184 (1.6) | 1.0 | — | 1.0 (reference) | — |
≥35–<70× URL | 3/186 (1.6) | 1.26 (0.30–5.35) | 0.75 | 1.35 (0.31–5.82) | 0.69 |
≥70–<500× URL | 10/240 (4.2) | 2.17 (0.61–7.80) | 0.22 | 2.43 (0.64–9.12) | 0.19 |
≥500× URL | 6/18 (33) | 26.2 (6.73–102) | <0.001 | 37.9 (8.85–163) | <0.001 |
hs-cTnI, high-sensitivity cardiac troponin I; MACE, major adverse cardiovascular events; CPB, cardiopulmonary bypass; LVEF, left ventricular ejection fraction; AF, atrial fibrillation; URL, upper reference limit.
Adjusted for EuroSCORE II and statin use.
Zero outcomes for the group of <10×URL (0/22), so group combined with 10–<35× URL as reference.
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