to HDL Ratio is a Reliable Predictor of Adverse Outcomes in Risk Stratification for Candidates Undergoing Abdominal Aortic Surgery

Aortic Aneurysm


Triglyceride to HDL Ratio is a Reliable Predictor of Adverse Outcomes in Risk Stratification for Candidates Undergoing Abdominal Aortic Surgery


Gambardella I, Blair PH, McKinley A, et al (Royal Victoria Hosp, Belfast, UK) Eur J Vasc Endovasc Surg 41:249–255, 2011§



G.L. Moneta, MD



Evidence Ranking


• C



Expert Rating


• 1



Abstract



Introduction


The aim of this study was to establish if an elevated triglyceride to high-density lipoprotein (HDL) ratio (THR) is not only a risk factor for cardiovascular and overall morbidity as the updated evidence shows, but could also be employed as a significant predictor for surgical adverse outcomes and hence be a valid tool for risk stratification of candidates undergoing abdominal aortic surgery.



Methods


This is a single-centre retrospective analysis of 2224 patients who underwent open abdominal aortic surgery between January 1996 and 2009. This cohort was divided into quartiles of THR. A list of covariates has been entered with THR into a multiple logistic model with forwards stepwise selection. The obtained result is an adjusted model, conceived to establish the association between THR and perioperative adverse events. Discrimination of the model so obtained and comparison with vascular-specific risk stratification scoring systems were evaluated using the area under the receiver operating characteristic (AUROC).

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Apr 1, 2017 | Posted by in CARDIOLOGY | Comments Off on to HDL Ratio is a Reliable Predictor of Adverse Outcomes in Risk Stratification for Candidates Undergoing Abdominal Aortic Surgery

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