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STS NATIONAL CARDIAC SURGERY DATABASE

1996 MITRAL VALVE REPLACEMENT PATIENTS

UNIVARIATE ANALYSIS: PRE OPERATIVE RISK VARIABLES

 

PATIENT POPULATION: 4,151
OPERATIVE SURVIVORS: 3,929
OPERATIVE MORTALITIES: 222

RISK VARIABLE

Count

% of Pop.

Mortality w/ Variable Present

 

Mortality w/ Variable Absent

 

Relative Risk

c2 p-Value

CCS Class II vs. I

308

7.42%

14/ 308

4.55%

27/ 730

3.70%

1.23

0.5220

CCS Class III vs. I

942

22.69%

41/ 942

4.35%

27/ 730

3.70%

1.18

0.5020

CCS Class IV vs. I

484

11.66%

53/ 484

10.95%

27/ 730

3.70%

2.96

0.0000

NYHA Class II vs. I

427

10.29%

11/ 427

2.58%

14/ 427

7.07%

0.36

0.0076

NYHA Class III vs. I

1,616

38.93%

57/ 1,616

3.53%

14/ 427

7.07%

0.50

0.0150

NYHA Class IV vs. I

935

22.52%

97/ 935

10.37%

14/ 427

7.07%

1.47

0.1550

Aortic Valve Disease

364

8.77%

23/ 364

6.32%

199/ 3,787

5.25%

1.20

0.3889

Mitral Valve Disease

3,531

85.06%

178/ 3,531

5.04%

44/ 620

7.10%

0.71

0.0359

Tricuspid Valve Disease

239

5.76%

14/ 239

5.86%

208/ 3,912

5.32%

1.10

0.7183

Pulmonic Valve Disease

24

0.58%

3/ 24

12.50%

219/ 4,127

5.31%

2.36

0.1183

Reoperation #1 vs. First Op

895

21.56%

69/ 895

7.71%

138/ 3,082

4.48%

1.72

0.0001

Multiple Reoperations vs. First Op

174

4.19%

15/ 174

8.62%

138/ 3,082

4.48%

1.93

0.0120

Urgent vs. Elective

688

16.57%

47/ 688

6.83%

126/ 3,266

3.86%

1.77

0.0005

Emergent vs. Elective

140

3.37%

28/ 140

20.00%

126/ 3,266

3.86%

5.18

0.0000

Emergent/Salvage vs. Elective

57

1.37%

21/ 57

36.84%

126/ 3,266

3.86%

9.55

0.0000

Double Vessel Disease vs. Single

33

0.79%

6/ 33

18.18%

4/ 65

6.15%

2.96

0.0630

Triple Vessel Disease vs. Single

34

0.82%

3/ 34

8.82%

4/ 65

6.15%

1.43

0.6230

Left Main Disease

19

0.46%

1/ 19

5.26%

221/ 4,132

5.35%

0.98

0.9868

Preop IABP

161

3.88%

39/ 161

24.22%

183/ 3,990

4.59%

5.28

0.0000

Age 60 - 65 vs. Age < 60

613

14.77%

25/ 613

4.08%

46/ 1,636

2.81%

1.45

0.1261

Age 66 - 70 vs. Age < 60

665

16.02%

34/ 665

5.11%

46/ 1,636

2.81%

1.82

0.0063

Age 71 - 80 vs. Age < 60

1,068

25.73%

90/ 1,068

8.43%

46/ 1,636

2.81%

3.00

0.0000

Age > 80 vs. Age < 60

169

4.07%

27/ 169

15.98%

46/ 1,636

2.81%

5.68

0.0000

E.F. 45% - 54% vs. E.F. >=55%

821

19.78%

37/ 821

4.51%

74/ 1,560

4.74%

0.95

0.7944

E.F. 35% - 44% vs. E.F. >=55%

393

9.47%

23/ 393

5.85%

74/ 1,560

4.74%

1.23

0.3659

E.F. 25% - 34% vs. E.F. >=55%

127

3.06%

9/ 127

7.09%

74/ 1,560

4.74%

1.49

0.2404

E.F.< 25% vs. E.F. >=55%

33

0.79%

3/ 33

9.09%

74/ 1,560

4.74%

1.92

0.2492

E.F. Unknown vs. E.F. >=55%

1,217

29.32%

76/ 1,217

6.24%

74/ 1,560

4.74%

1.32

0.0825

LVEDP <15

906

21.83%

29/ 906

3.20%

39/ 839

4.65%

0.74

0.1180

LVEDP >=15

839

20.21%

39/ 839

4.65%

29/ 906

3.20%

1.36

0.1180

PA Sys <30

269

6.48%

5/ 269

1.86%

87/ 1,999

4.35%

0.43

0.0520

PA Sys >=30

1,999

48.16%

87/ 1,999

4.35%

5/ 269

1.86%

2.34

0.0520

PA Diast <15

465

11.20%

10/ 465

2.15%

78/ 1,727

4.52%

0.48

0.0210

PA Diast >=15

1,727

41.60%

78/ 1,727

4.52%

10/ 465

2.15%

2.10

0.0210

PA Wedge <15

433

10.43%

10/ 433

2.31%

74/ 1,536

4.82%

0.48

0.0230

PA Wedge>=15

1,536

37.00%

74/ 1,536

4.82%

10/ 433

2.31%

2.09

0.0230

 



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