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Table 4 The risk factors for any postoperative complication occurrence

From: Enhanced recovery after surgery in primary liver cancer patients undergoing hepatectomy: experience from a large tertiary hospital in China

 

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)

  1. Continuous variables are presented as mean (SD, standard deviation) or median (IQR, interquartile range); the categorical variables are presented as numbers (%)
  2. ERAS, enhanced recovery after surgery; BMI, body mass index; ALT, glutamic pyruvic transaminase; AST, glutamic oxaloacetic transaminase; PLT, platelet; HB, hemoglobin; WB; white blood cell; ALB, albumin; TBIL, total bilirubin; ASA, American Society of Anesthesiologists; OR, odd ratio; CI, confidence interval
  3. Multivariable-1 presents the results of including statistically significant variables in univariate analysis in logistics regression; multivariable-2 present the results of stepwise backward logistic regression