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Table 5 Factors associated with major complications and mortality

From: Surgical Apgar score as a predictor of outcomes in patients following laparotomy at Mulago National Referral Hospital, Uganda: a prospective cohort study

Outcome variables

Major complications

Mortality

Crude RR (95%CI)

p- value

Adjusted RR (95% CI)

p-value

Crude RR (95% CI)

p-value

Adjusted RR (95% CI)

p-value

SAS

0.5 (0.4–0.7)

 < 0.001

0.5 (0.4–0.7)

 < 0.001

0.6 (0.4–0.8)

0.001

0.6 (0.4–0.8)

0.001

SAS category

        

 Low score (n = 21)

1.0

 

1.0

 

NA

 

N/A

 

 Medium score (n = 98)

5.1 (0.6–40.4)

0.122

3.5 (0.4–29.3)

0.243

1.0

 

1.0

 

 High score (n = 32)

16.8 (2.0–140.7)

0.009

18.4 (1.9–177.0)

0.012

3.8 (1.3–11.1)

0.015

3.9 (1.01–15.3)

0.048

Age (years)

        

 65 or more

1.0

 

1.0

 

1.0

 

1.0

 

 18–64

1.9 (0.4–8.8)

0.430

2.4 (0.3–21.3)

0.436

1.7(0.3–8.6)

0.532

2.9 (0.3–29.2)

0.364

Sex

        

 Female

1.0

   

1.0

   

 Male

1.6 (0.7–3.8)

0.264

  

0.7 (0.2–2.1)

0.520

  

Nature of operation

        

 Elective

1.0

 

1.0

 

1.0

 

1.0

 

 Emergency

9.8 (2.2–43.0)

0.002

19.5(1.1- 350.5)

0.044

6.3 (0.8 – 49.6)

0.081

2.1 (0.03–147.3)

0.736

Cadre of surgeon

        

 Specialist

1.0

 

1.0

 

1.0

 

1.0

 

 Residents

6.4 (1.8–22.0)

0.003

1.2 (0.1–14.2)

0.872

6.6 (0.8 – 51.6)

0.074

7.1 (0.1–524.2)

0.370

Duration of surgery

        

 ≤ 120 min

1.0

   

1.0

   

 > 120 min

1.1 (0.5–2.4)

0.730

  

1.3 (0.4 – 3.9)

0.606

  

Intraoperative diagnosis

        

 Intestinal obstruction

1.0

   

N/A

   

 GI perforation

7.9 (2.8–22.3)

 < 0.001

      

 Inflammatory disorder

1.6 (0.3–7.4)

0.555

      

 Others

0.2 (0.02–1.7)

0.140

      

Need ICUa

        

 No

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

10.2 (3.0–35.0)

 < 0.001

16.3 (2.8–94.6)

0.002

18.2 (5.2 – 65.3)

 < 0.001

23.9 (4.9–115.9)

 < 0.001

  1. aICU Intensive Care unit