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Table 3 Univariate and multivariate analysis of predictors for major postoperative complications(Clavien-Dindo grade ≥ IIIb)

From: The impact of preoperative nutritional status on postoperative outcomes: an insight from Geriatric Nutritional Risk Index in elderly pancreaticoduodenectomy patients

Variables

Unadjusted OR (95% CI)

P-value

Adjusted OR (95% CI)

P-value

Age

1.14 (1.06–1.23)

 < 0.001

1.11 (1.02–1.21)

0.014

Sex (Female)

0.62 (0.28–1.49)

0.300

—

 

BMI

0.98 (0.87–1.10)

0.758

—

 

Preoperative TBIL

1.03 (0.93–1.14)

0.546

  

Preoperative bile drain

0.59 (0.25–1.40)

0.231

  

CCI

 0–1

Reference

 

—

 

 2–5

0.89 (0.33–2.42)

0.819

—

 

ASA physical status

 I-II

Reference

 

Reference

 

 III-V

8.48 (1.92–37.39)

0.004

4.56 (0.95–21.94)

0.058

GNRI score

  

—

 

 No risk

Reference

 

Reference

 

  Low risk

1.67 (0.45–6.24)

0.448

1.35 (0.33–5.57)

0.678

 High/moderate risk

5.88 (2.01–17.19)

0.001

3.61 (1.12–11.69)

0.032

  MIS approacha

0.79 (0.27–2.29)

0.666

—

 

 Operative time

  Time < 8 h

Reference

 

Reference

 

 Time > 8 h

2.99 (1.26–7.09)

0.013

3.04 (1.14–8.13)

0.027

Operative blood loss

  < 400 ml

Reference

 

—

 

  > 400 ml

1.95 (0.82–4.63)

0.126

—

 

 Fistula Risk Score

1.14 (0.94–1.39)

0.192

—

 
  1. aCompared to open approach
  2. OR odds ratio, CI confidence interval, TBIL Total bilirubin, BMI body mass index, CCI Charlson Comorbidity Index, ASA American Society of Anesthesiologists, GNRI Geriatric Nutritional Risk Index, MIS minimally invasive surgery
  3. High risk / moderate nutrition risk (GNRI ≤ 92), low nutrition risk (92 < GNRI ≤ 98), and no nutrition risk (GNRI > 98)