Table 3

Predictors of early mortality (death within 12 months of right heart catheterisation): mortality as determined by logistic regression for continuous parameters and a priori threshold values

OR (95% CI)p Value
Right heart catheterisation
    PVR (continuous; WU)1.30 (1.11 to 1.52)0.001*†
    PVR ⩾33.00 (0.61 to 14. 86)0.18
    PVR ⩾3.562.71 (0.68 to 10.72)0.16
    PVR ⩾6.238.15 (2.38 to 27.87)0.001*†
    mPAP (continuous; mm Hg)1.05 (1.00 to 1.01)0.03
    mPAP ⩾171.82 (0.20 to 16.78)0.60
    mPAP ⩾253.00 (0.61 to 14.86)0.18
    mPAP ⩾351.78 (0.58 to 5.40)0.31
    mPAP ⩾453.91 (1.05 to 14.50)0.04
    mRAP (continuous; mmHg)0.97 (0.84 to 1.11)0.65
    mLAP0.93 (0.84 to 1.04)0.19
    Cardiac output (l/min)0.59 (0.33 to 1.03)0.06
Echocardiography
    RVSP (mm Hg)‡1.02 (0.99 to 1.06)0.23
    RA dilation2.55 (0.82 to 7.89)0.10
    RV dilation4.13 (1.25 to 13.64)0.02*
    Echocardiographic evidence of PH§3.00 (0.61 to 14.86)0.18
Pulmonary function
    Tlco % predicted‡0.96 (0.92 to 1.01)0.12
    FVC % predicted‡0.99 (0.97 to 1.02)0.58
    CPI1.03 (0.99 to 1.08)0.14
    Pao2 (kPa)‡0.71 (0.51 to 0.98)0.04
Clinical
    Age1.00 (0.95 to 1.04)0.93
    Male gender1.07 (0.35 to 3 to28)0.90
    Time from presentation (months)1.01 (1.00 to 1.02)0.05
    Coronary artery disease1.94 (0.40 to 9.49)0.42
    WHO class2.67 (1.21 to 5.88)0.02*
    Exclusion of IPF patients8.04 (1.72 to 37.59)0.008
    Exclusion of CTD-related fibrosis patients9.92 (2.30 to 42.85)0.002
    Exclusion of idiopathic NSIP patients9.9 (2.68 to 36.53)0.001
    Exclusion of sarcoidosis patients8.89 (2.34 to 33.81)0.001
  • *Remains significant following adjustment for age, gender, CPI and diagnosis of IPF (PVR: OR 1.41, 95% CI 1.17 to 1.71, p<0.001; PVR ⩾6.23: OR 11.09, 95% CI 2.54 to 48.36, p = 0.001; RV dilatation: OR 6.19, 95% CI 1.47 to 26.02, p = 0.01; WHO class: OR 2.63, 95% CI 1.03 to 6.68, p = 0.04).

  • †Remains significant for patients with mLAP <15 mm Hg (PVR: OR 1.25, 95% CI 1.06 to 1.47, p = 0.007; PVR ⩾6.23: OR 6.5, 95% CI 1.71 to 24.68, p = 0.006).

  • ‡No a priori threshold value significantly predicted early mortality.

  • §Patients with RVSP ⩾40 mm Hg or right atrial or right ventricular dilation or right ventricular dysfunction.

  • CI, confidence interval; CPI, composite physiological index; CTD, connective tissue disease; FVC, forced vital capacity; IPF, idiopathic pulmonary fibrosis; mLAP, mean left atrial pressure; mPAP, mean pulmonary artery pressure; mRAP, mean right atrial pressure; NSIP, non-specific interstitial pneumonia; OR, odds ratio; Pao2, arterial oxygen tension; PH, pulmonary arterial hypertension; PVR, pulmonary vascular resistance; RA, right atrial; RV, right ventricular; RVSP, right ventricular systolic pressure; Tlco, transfer factor for carbon monoxide; WHO, World Health Organization; WU, Wood units.