Any postoperative complication | Predictors of any postoperative complication occurrence | |||||
---|---|---|---|---|---|---|
univariable | multivariable-1 | multivariable-2 | ||||
Variables | No (N = 221) | Yes (N = 97) | P | OR (95%CI) | OR (95%CI) | OR (95%CI) |
Group | 0.001 | |||||
ERAS | 118 (53.4%) | 32 (33%) | 1 reference | 1 reference | 1 reference | |
Non-ERAS | 103 (46.6%) | 65 (67%) | 2.33 (1.41–3.83, p < .001) | 2.51 (1.30–4.84, p = .006) | 2.58 (1.37–4.89, p = .004) | |
Age at diagnosis | 53.9 (10.4) | 57.5 (10.3) | 0.004 | 1.04 (1.01–1.06, p = .004) | 1.03 (1.00-1.07, p = .029) | 1.04 (1.01–1.07, p = .014) |
Sex | < 0.001 | |||||
Female | 64 (29.0%) | 8 (8.25%) | 1 reference | 1 reference | 1 reference | |
Male | 157 (71.0%) | 89 (91.8%) | 4.54 (2.08–9.89, p < .001) | 3.91 (1.36–11.26, p = .011) | 4.30 (1.65–11.23, p = .003) | |
BMI | 23.0 [20.9;24.8] | 23.4 [21.7;25.4] | 0.175 | 1.06 (0.98–1.15, p = .133) | ||
Education level | 0.526 | |||||
No school/primary education | 58 (26.2%) | 21 (21.6%) | 1 reference | |||
Middle Education | 69 (31.2%) | 37 (38.1%) | 1.48 (0.78–2.81, p = .229) | |||
High education | 46 (20.8%) | 22 (22.7%) | 1.32 (0.65–2.69, p = .444) | |||
University education | 48 (21.7%) | 17 (17.5%) | 0.98 (0.46–2.06, p = .954) | |||
Comorbidity | 0.044 | |||||
No | 196 (88.7%) | 77 (79.4%) | 1 reference | 1 reference | ||
Yes | 25 (11.3%) | 20 (20.6%) | 2.04 (1.07–3.88, p = .030) | 1.40 (0.59–3.32, p = .439) | ||
Chronic smoking | 0.498 | |||||
No | 169 (76.5%) | 70 (72.2%) | 1 reference | |||
Yes | 52 (23.5%) | 27 (27.8%) | 1.25 (0.73–2.16, p = .414) | |||
Chronic drinking | 0.187 | |||||
No | 194 (87.8%) | 79 (81.4%) | 1 reference | |||
Yes | 27 (12.2%) | 18 (18.6%) | 1.64 (0.85–3.14, p = .138) | |||
ALT (U/L) | 26.0 [20.0;33.0] | 26.0 [19.0;33.0] | 0.719 | 1.00 (0.97–1.03, p = .750) | ||
AST (U/L) | 24.0 [17.0;30.0] | 26.0 [19.0;31.0] | 0.264 | 1.02 (0.99–1.05, p = .265) | ||
PLT (×109 L) | 196 [142;241] | 179 [133;232] | 0.341 | 1.00 (0.99-1.00, p = .322) | ||
HB (g/L) | 137 [125;151] | 141 [128;150] | 0.926 | 1.00 (0.99–1.01, p = .835) | ||
WB (×109 L) | 5.38 [4.32;6.57] | 5.44 [4.59;7.05] | 0.316 | 1.06 (0.97–1.17, p = .208) | ||
Creatinine (umol/L) | 72.0 [61.0;82.0] | 75.0 [67.0;84.0] | 0.013 | 1.02 (1.00-1.03, p = .028) | 1.00 (0.98–1.03, p = .729) | |
ALB (g/L) | 41.4 [39.3;43.9] | 40.4 [38.5;42.9] | 0.037 | 0.95 (0.90–1.01, p = .077) | ||
TBIL (umol/L) | 11.5 [8.70;15.5] | 12.7 [8.50;16.6] | 0.371 | 1.00 (0.98–1.02, p = .805) | ||
ASA: | 0.617 | |||||
I + II | 154 (69.7%) | 71 (73.2%) | 1 reference | |||
III | 67 (30.3%) | 26 (26.8%) | 0.84 (0.49–1.43, p = .526) | |||
Surgical approach | < 0.001 | |||||
Laparoscopic technique | 82 (37.1%) | 13 (13.4%) | 1 reference | 1 reference | 1 reference | |
Open | 139 (62.9%) | 84 (86.6%) | 3.81 (2.00-7.26, p < .001) | 3.07 (1.42–6.63, p = .004) | 3.12 (1.45–6.72, p = .004) | |
Extent of operation | < 0.001 | |||||
Single segmentectomy | 109 (49.3%) | 30 (30.9%) | 1 reference | 1 reference | 1 reference | |
Two combined segmentectomies | 86 (38.9%) | 36 (37.1%) | 1.52 (0.87–2.67, p = .143) | 1.43 (0.71–2.87, p = .312) | 1.43 (0.71–2.84, p = .314) | |
Major hepatectomy | 26 (11.8%) | 31 (32.0%) | 4.33 (2.24–8.38, p < .001) | 2.74 (1.18–6.37, p = .019) | 2.84 (1.23–6.56, p = .014) | |
Surgical time (minute) | 267 [217;315] | 285 [218;359] | 0.053 | 1.00 (1.00-1.01, p = .004) | 1.00 (1.00–1.00, p = .974) | |
Blood volume intraoperative (per 100ml) | 200 [100;400] | 500 [300;1100] | < 0.001 | 1.40 (1.27–1.54, p < .001) | 1.37 (1.23–1.52, p < .001) | 1.36 (1.23–1.50, p < .001) |