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Table 2 Baseline characteristics of patients stratified by the time-weighted the area above the curve HMR threshold of 1.0

From: Intraoperative hemodynamic imbalance quantification: clinical validation of heart rate to mean blood pressure ratio in predicting myocardial injury after noncardiac surgery

Variables

Overall N = 699

Q1, N = 175

Q2, N = 174

Q3, N = 175

Q4, N = 175

p

TWAAT-HMR > 1.0 range

 

0–0.0047

0.0048–0.0235

0.0236–0.0730

0.0731–1.14

 

TWAAT-HMR > 1.0 quartiles

0.02[0.00, 0.07]

0.00[0.00, 0.00]

0.01[0.01, 0.02]

0.04[0.03, 0.06]

0.13[0.10, 0.21]

 

Age (years)

64 [55, 73]

62 [55, 72]

64 [56, 72]

64 [56, 72]

65 [55, 76]

0.435

Gender (woman)

271(38.8)

79(45.1)

69(39.7)

61(34.9)

62(35.4)

0.172

BMI ≥ 24 kg/m2

199(28.5)

60(34.3)

49(28.2)

40(22.9)

50(28.6)

0.131

Past medical history (%)

      

 Hypertension

143(20.5)

44(25.1)

31(17.8)

34(19.4)

34(19.4)

0.343

 Atrial fibrillation

3(0.4)

0(0.0)

0(0.0)

0(0.0)

3(1.7)

0.062

 COPD

55(7.9)

8(4.6)

11(6.3)

19(10.9)

17(9.7)

0.103

 Coronary heart disease

25(3.6)

10(5.7)

4(2.3)

5(2.9)

6(3.4)

0.332

 Peripheral Vascular Disease

30(4.3)

7(4.0)

5(2.9)

9(5.1)

9(5.1)

0.681

 History of stroke

34(4.9)

13(7.4)

4(2.3)

7(4.0)

10(5.7)

0.138

 Congestive heart failure

9(1.3)

2(1.1)

1(0.6)

1(0.6)

5(2.9)

0.334

 Diabetes

69(9.9)

19(10.9)

13(7.5)

21(12.0)

16(9.1)

0.510

Nicotine dependence

95(13.6)

18(10.3)

30(17.2)

27(15.4)

20(11.4)

0.187

Preoperative medications ≤ 7 days before surgery

      

 Rate-controlling medications

24(3.4)

7(4.0)

10(5.7)

0(0.0)

7(4.0)

0.025

 Aspirin

15(2.1)

7(4.0)

3(1.7)

1(0.6)

4(2.3)

0.173

 Statins

50(7.2)

20(11.4)

10(5.7)

6(3.4)

14(8.0)

0.027

Preoperative heparin ≤ 24 h before surgery

132(18.9)

31(17.7)

29(16.7)

27(15.4)

45(25.7)

0.060

Preoperative eGFR mL/min/1.73 m2

     

 0.282

 ≤ 44

34(4.9)

10(5.7)

6(3.4)

8(4.6)

10(5.7)

 

 45–59

74(10.6)

16(9.1)

12(6.9)

21(12.0)

25(14.3)

 

 ≥ 60

591(84.5)

149(85.1)

156(89.7)

146(83.4)

140(80.0)

 

Preoperative hemoglobin (g/L)

129[115, 141]

131[117, 143]

130[117, 139]

130[119, 139]

122[106, 143]

0.123

Preoperative glucose (mmol/L)

5.32[4.62, 6.50]

5.30[4.67, 6.20]

5.23[4.62, 6.20]

5.17[4.52, 6.24]

5.92[4.86, 7.63]

< 0.001

Preoperative triglyceride (mmol/L)

1.19[0.82, 1.63]

1.17[0.81, 1.57]

1.22[0.90, 1.67]

1.19[0.84, 1.72]

1.16[0.78, 1.58]

0.300

ASA physical status

     

< 0.001

 I-II

42(6.0)

19(10.9)

7(4.0)

10(5.7)

6(3.4)

 

 III

460(65.8)

113(64.6)

134(77.0)

120(68.6)

93(53.1)

 

 IV

197(28.2)

43(24.6)

33(19.0)

45(25.7)

76(43.4)

 

Emergency

117(16.7)

20(11.4)

16(9.2)

27(15.4)

54(30.9)

< 0.001

Surgery type

     

< 0.001

 Low-risk surgery

32(4.6)

7(4.0)

5(2.9)

8(4.6)

12(6.9)

 

 Non-thoracic major surgery

478(68.4)

148(84.6)

114(65.5)

105(60.0)

111(63.4)

 

 Thoracic surgery

189(27.0)

20(11.4)

55(31.6)

62(35.4)

52(29.7)

 

Intraoperative RBC infusion

22 (3.2)

1 (0.6)

5 (2.9)

4 (2.3)

12 (6.9)

0.007

Intraoperative blood bleeding (ml)

50[20, 100]

30[20, 50]

50[20, 100]

50[20, 100]

50[20, 100]

0.030

MINS within postoperative 1 day

66(9.4)

4(2.3)

12(6.9)

18(10.3)

32(18.3)

< 0.001

  1. Categorical data are presented as n (%), and for continuous variables, data are presented as median [quartile]. HMR: heart rate to mean blood pressure Ratio; TWAAT-HMR: time-weighted area above the HMR threshold; BMI: Body Mass Index; COPD: Chronic Obstructive Pulmonary Disease; Rate-controlling medications: verapamil, diltiazem and β-blockers; eGFR: Estimated Glomerular Filtration Rate; ASA: American Society of Anesthesiologists; RBC: red blood cell; eGFR was calculated using the CKD-EPI formula; MINS: Myocardial Injury after Noncardiac Surgery.