Table 3 The risk factors for a postoperative prolonged hospital stay
Postoperative hospitalization days of > 6 days | Risk factors of postoperative hospitalization days > 6 days | |||||
|---|---|---|---|---|---|---|
univariable | multivariable-1 | multivariable-2 | ||||
Variables | No (N = 199) | Yes (N = 119) | P | OR (95%CI) | OR (95%CI) | OR (95%CI) |
Group | < 0.001 | |||||
ERAS | 110 (55.3%) | 40 (33.6%) | 1 reference | 1 reference | 1 reference | |
Non-ERAS | 89 (44.7%) | 79 (66.4%) | 2.44 (1.52–3.91, p < .001) | 2.63 (1.57–4.43, p < .001) | 2.64 (1.59–4.38, p < .001) | |
Age at diagnosis | 54.8 (11.1) | 55.2 (9.46) | 0.726 | 1.00 (0.98–1.03, p = .735) | ||
Sex | 0.689 | |||||
Female | 47 (23.6%) | 25 (21.0%) | 1 reference | |||
Male | 152 (76.4%) | 94 (79.0%) | 1.16 (0.67–2.01, p = .591) | |||
BMI | 23.2 [20.9;24.8] | 23.0 [20.9;25.5] | 0.947 | 1.00 (0.93–1.08, p = .920) | ||
Education level | 0.903 | |||||
No school/primary education | 47 (23.6%) | 32 (26.9%) | 1 reference | |||
Middle Education | 66 (33.2%) | 40 (33.6%) | 0.89 (0.49–1.62, p = .702) | |||
High education | 44 (22.1%) | 24 (20.2%) | 0.80 (0.41–1.57, p = .517) | |||
University education | 42 (21.1%) | 23 (19.3%) | 0.80 (0.41–1.59, p = .529) | |||
Comorbidity | 0.91 | |||||
No | 170 (85.4%) | 103 (86.6%) | 1 reference | |||
Yes | 29 (14.6%) | 16 (13.4%) | 0.91 (0.47–1.76, p = .780) | |||
Chronic smoking | 1 | |||||
No | 150 (75.4%) | 89 (74.8%) | 1 reference | |||
Yes | 49 (24.6%) | 30 (25.2%) | 1.03 (0.61–1.74, p = .907) | |||
Chronic drinking | 0.376 | |||||
No | 174 (87.4%) | 99 (83.2%) | ||||
Yes | 25 (12.6%) | 20 (16.8%) | 1.41 (0.74–2.66, p = .295) | |||
ALT (U/L) | 27.0 [20.0;33.0] | 25.0 [18.0;33.5] | 0.273 | 0.98 (0.96–1.01, p = .293) | ||
AST (U/L) | 25.0 [17.0;31.0] | 23.0 [18.0;29.0] | 0.547 | 0.99 (0.96–1.02, p = .598) | ||
PLT (×109 L) | 195 [138;240] | 194 [140;242] | 0.777 | 1.00 (1.00–1.00, p = .773) | ||
HB (g/L) | 137 [125;151] | 140 [124;150] | 0.828 | 1.00 (0.99–1.01, p = .815) | ||
WB (×109 L) | 5.43 [4.32;6.63] | 5.23 [4.46;6.67] | 0.766 | 0.97 (0.88–1.07, p = .545) | ||
Creatinine (umol/L) | 74.0 [63.0;83.0] | 73.0 [63.5;81.0] | 0.535 | 0.99 (0.98–1.01, p = .410) | ||
ALB (g/L) | 41.4 [39.0;43.8] | 40.9 [38.7;43.2] | 0.639 | 1.00 (0.95–1.06, p = .858) | ||
TBIL (umol/L) | 12.0 [8.85;15.9] | 11.6 [8.15;16.5] | 0.665 | 1.00 (0.98–1.02, p = .976) | ||
ASA: | 0.939 | |||||
I + II | 140 (70.4%) | 85 (71.4%) | 1 reference | |||
III | 59 (29.6%) | 34 (28.6%) | 0.95 (0.58–1.57, p = .838) | |||
Surgical approach | 0.005 | |||||
Laparoscopic technique | 71 (35.7%) | 24 (20.2%) | 1 reference | 1 reference | 1 reference | |
Open | 128 (64.3%) | 95 (79.8%) | 2.20 (1.29–3.74, p = .004) | 2.01 (1.12–3.59, p = .018) | 2.01 (1.14–3.56, p = .016) | |
Extent of operation | < 0.001 | |||||
Single segmentectomy | 97 (48.7%) | 42 (35.3%) | 1 reference | 1 reference | 1 reference | |
Two combined segmentectomies | 81 (40.7%) | 41 (34.5%) | 1.17 (0.69–1.97, p = .557) | 1.05 (0.61–1.83, p = .858) | 1.05 (0.61–1.83, p = .857) | |
Major hepatectomy | 21 (10.6%) | 36 (30.3%) | 3.96 (2.07–7.57, p < .001) | 3.48 (1.71–7.08, p < .001) | 3.48 (1.73–7.03, p < .001) | |
Surgical time (minute) | 271 [222;330] | 270 [210;335] | 0.703 | 1.00 (1.00–1.00, p = .468) | ||
Blood volume intraoperative (per 100ml) | 200 [100;500] | 400 [200;600] | < 0.001 | 1.12 (1.06–1.19, p < .001) | 1.08 (1.01–1.15, p = .016) | 1.08 (1.02–1.15, p = .006) |
Any postoperative complication | < 0.001 | |||||
No | 153 (76.9%) | 68 (57.1%) | 1 reference | 1 reference | ||
Yes | 46 (23.1%) | 51 (42.9%) | 2.49 (1.53–4.07, p < .001) | 1.01 (0.54–1.89, p = .974) | ||