Skip to main content

Table 3 Logistic regression analysis for factors associated with suboptimal length of stay

From: Role for colorectal teams to support non-colorectal teams to improve clinical outcomes and adherence to ERAS guidelines for segmental colectomy: a cohort study

 

Univariable analysis

Multivariable analysis

Odds ratio

95% CI

P

Odds ratio

95% CI

P

Age

1.02

(1.02, 1.06)

0.022*

1.02

(0.99, 1.05)

0.054*

Sex (Male)

1.04

(0.65, 1.69)

0.852

   

Pre 2014

4.98

(2.26, 13.22)

< 0.001***

   

ASA fitness grade

      

 II

1.86

(0.76, 4.94)

Wald 0.15

   

 III

1.42

(0.51, 3.69)

    

 IV

4.30

(0.59, 88.43)

    

Surgical team (non-colorectal)

7.69

(3.99, 16.37)

< 0.001***

4.09

(1.85, 9.05)

< 0.001***

Stoma formed

2.36

(0.64, 15.18)

0.260

   

Anastomosis formed

0.49

(0.075, 1.82)

0.356

   

Complications

21.93

(6.72, 134.9)

< 0.001***

   

Days between counselling and surgery

1.00

(0.98, 1.03)

0.741

   

Operation

  

Wald < 0.007**

  

0.34

 Left hemicolectomy

1.81

(1.09, 3.17)

 

0.59

(0.18,1.91)

 

 Right hemicolectomy

1.86

(1.09, 3.17)

 

1.17

(0.64, 2.15)

 

 Sigmoid colectomy

11.77

(2.89, 107.88)

 

7.75

(0.88, 68.18)

 

 Subtotal colectomy

20.10

(2.59, 2588.14)

 

> 100

(0, Inf)

 

 Transverse colectomy

2.49

(0.68, 13.42)

 

2.3

(0.41, 12.6)

 

Non-compliance with ERAS recommendations

Preoperative bowel prep avoided

0.65

(0.03, 4.10)

0.697

   

Preoperative fluid loading

1.04

(0.64, 1.74)

0.870

   

Intraoperative PONV prevention

1.52

(0.81, 3.02)

0.211

   

Postoperative PONV prevention

1.85

(0.31, 32.21)

0.571

   

Laparoscopic approach

8.90

(4.30, 18.40)

< 0.001***

2.92

(1.26, 6.78)

0.012 **

NG intubation

> 100

(0, Inf)

0.986

   

Abdominal drains avoided

4.27

(0.99, 18.35)

0.051*

2.31

(0.42, 12.6)

0.307

Restricted perioperative fluid management

0.96

(0.57, 1.57)

0.866

   

Intraoperative hypothermia prevention

1.85

0.31, 35.21)

0.571

   

Indwelling catheter removed on POD1

3.14

(1.85, 5.51)

< 0.001***

1.93

(1.04, 3.59)

0.035*

PCA removed on POD2

8.71

(1.78, 157.27)

0.036*

   

Nutritional supplement provided

1.48

(0.87, 2.56)

0.150

   

First standard meal consumed on DOS

0.75

(0.36, 1.60)

0.44

   

Early mobilisation within 24 h

1.13

(0.70, 1.85)

0.609

   

Stepdown pain relief

3.29

(0.13, 84.00)

0.400

   
  1. Odds ratio for age and days between counselling and surgery is the change in odds of LOS > 4 days for each unit change of the variable. For categorical variables, it is the change in odds of LOS > 4 compared to the reference category, in the case of ERAS recommendations, compliance is the reference. 95% CI is defined as the 95% confidence interval for the estimated odds ratio
  2. PONV postoperative nausea and vomiting, NG nasogastric, PCA patient controlled analgesia, DOS day of surgery, POD postoperative day, LOS length of stay
  3. *Significant p ≤ 0.05
  4. **Significant p ≤ 0.01
  5. ***Significant p ≤ 0.001
Back to article page

BMC Surgery

ISSN: 1471-2482

Contact us