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Table 4 Uni- and multivariate predictive factors of POPF after DP

From: Drain fluid and serum amylase concentration ratio is the most reliable indicator for predicting postoperative pancreatic fistula after distal pancreatectomy

 

n

Univariate

Multivariate

OR

95%CI

p-value

OR

95%CI

p-value

Age (years)

  > 70

49

0.82

0.34–1.90

0.65

   

  < 70

73

1

     

Sex

 Male

71

1.32

0.58–3.18

0.51

   

 Female

51

1

     

BMI (kg/m2)

  > 24

42

2.13

0.91–5.04

0.08

2.49

0.79–8.00

0.12

  < 24

80

1

  

1

  

Albumin (g/dl)

  > 3.6

112

0.45

 

0.26

   

  < 3.6

10

1

     

Pancreatic disease

 PDAC

56

0.73

0.31–1.67

0.45

   

 Non-PDAC

66

1

     

Location

 Body

70

0.67

0.29–1.55

0.35

   

 Tail

52

1

     

Operative time (min)

  > 300

41

1.43

0.60–3.33

0.42

   

  < 300

80

1

     

Blood loss (ml)

  > 400

42

0.92

0.37–2.17

0.85

   

  < 400

79

1

     

Surgical procedure

 Open

86

1.93

0.75–5.67

0.18

   

 Laparoscopic

36

1

     

 Spleen preserving

20

0.46

0.10–1.49

0.21

   

 Non spleen preserving

102

1

     

Resection procedure

 Hand-sewn

47

0.90

0.37–2.09

0.81

   

 Stapler

75

1

     

Pancreas texture

 Soft

66

6.81

2.37–24.79

 < 0.001***

9.22

2.22–44.19

 < 0.01**

 Hard

46

1

  

1

  

Pancreas thickness (mm)

  

0.34–1.83

0.59

   

  > 12

58

0.80

     

  < 12

64

1

     

SAC (U/L) –POD1

  > 100

88

0.58

0.71–4.16

0.22

   

  < 100

34

1

     

SAC (U/L) –POD3

  > 100

16

1.01

0.27–3.20

0.98

   

  < 100

105

1

     

Drainage volume (ml)a – POD1

  > 40

89

1.66

0.64–4.89

0.31

   

  < 40

33

1

     

Drainage volume (ml)a – POD3

  > 55

35

0.70

0.25–1.74

0.45

   

  < 55

87

1

     

DSACRb – POD1

  > 17

63

5.33

2.09–15.54

 < 0.001***

1.51

0.40–5.91

0.55

  < 17

58

1

  

1

  

DSACRb – POD3

  > 22

47

9.04

3.59–25.33

 < 0.001***

8.76

2.78–31.59

 < 0.001***

  < 22

73

1

  

1

  
  1. POPF Postoperative pancreatic fistula, OR Odds ratio, 95%CI 95% confidence interval, BMI Body mass index, PDAC Pancreatic ductal adenocarcinoma, SAC Serum amylase concentration (U/L), DSACR Drain fluid and serum amylase concentration ratio, POD Postoperative day
  2. aThe 24 h drainage volume from the morning of POD1 and 3
  3. bCalculated by dividing D-Amy concentration by S-Amy concentration
  4. *: p < 0.05
  5. **: p < 0.01
  6. ***: p < 0.001