From: Outcome after hepatectomy-delirium as an independent predictor for mortality
Variable | Nonsurvivors/survivors | OR (95% CI) | P (a) |
---|---|---|---|
n (%) or median (IQR) | n = 13 n = 57 | ||
Type of hepatectomy surgery | 0.105 (b) | ||
for malignant disease | 13 (100) / 45 (78) | – | |
for benign disease | 0 (0) /12 (21) | 1 | |
Age | 65 (54 – 71) / 57 (44 – 66) | 1.04 (0.99 – 1.10) | 0.109 |
Gender | 0.759 | ||
Female | 6 (46) / 29 (51) | 1 | |
Male | 7 (54) / 28 (49) | 0.83 (0.25 – 2.77) | |
BMI, median | 25 (22 – 31) /25 (22 – 29) | 0.99 (0.88 – 1.13) | 0.981 |
Type of anesthesia | 0.424 | ||
General | 10 (77) /49 (86) | 1 | |
Combined general loco regional | 3 (23) / 8 (14) | 1.84 (0.41 – 8.16) | |
Duration of anesthesia (minutes) | 300 (255 – 395) / 300 (265–330) | 1.01 (0.99 – 1.01) | 0.161 |
ASA Physical status | 0.443 (b) | ||
I/II | 0 (0) /23 (40) | 1 | |
III/IV | 13 (100) / 34 (60) | – | |
Intraoperative fluid volume, median | |||
Crystalloids (L.) | 4.2 (4.0– 5.0) / 4.0 (3.1 – 4.9) | 1.26 (0.86 – 1.87) | 0.239 |
Colloids (L.) | 0.5 (0–1.0) / 0.5 (0 – 0.5) | 1.39 (0.34 – 5.79) | 0.649 |
Erythrocytes (Unit) | 1 (0 – 3. 0) / 0 (0 – 1) | 2. 92 (1. 25 – 6. 81) | 0. 013 |
Fresh Frozen plasma (Unit) | 0 (0 – 0) / 0 (0 – 0) | 1.44 (0.80 – 2.58) | 0.221 |
Platelets (Unit) | 0 (0 – 0) / 0 (0 – 0) | – | 1 |
Temperature at admission | 34.2 (33.3 – 35.1) / 35.0 (33.9 – 35.6) | 0.72 (0.44 – 1.17) | 0.184 |
Hypertension | 8 (62) / 29 (51) | 1.55 (0.45 – 5.30) | 0.489 |
Hyperlipidaemia | 7 (54) / 18 (32) | 2.53 (0.74 – 8.61) | 0.138 |
Pulmonary obstructive disease | 2 (15) / 6 (11) | 1.55 (0.28 – 8.70) | 0.621 |
Ischemic heart disease | 3 (23) / 3 (5) | 5.40 (0.95 – 30.7) | 0.057 |
Congestive heart disease | 3 (23) / 7 (12) | 2.14 (0.47 – 9.73) | 0.324 |
Cerebrovascular disease | 2 (15) /1 (2) | 10.18 (0.85 – 122) | 0.067 |
Insulin therapy for diabetes | 2 (15) / 1 (2) | 10.18 (0.85 – 122) | 0.067 |
Renal insufficiency | 1 (8) / 3 (5) | 1.50 (0.14 – 15.7) | 0.735 |
RCRI | 0.019 | ||
≤2 | 10 (77) / 56 ( 98 ) | 1 | |
>2 | 3 ( 23 ) / 1 ( 2 ) | 16 . 8 ( 1 . 59 – 178 ) | |
Delirium | 9 (69 ) / 8 ( 14 ) | 13 . 78 ( 3 . 42 – 55 . 60 ) | < 0 . 001 |
Previous score in Katz scale | 0 (0 – 0) / 0 (0 – 0) | – | 1 |
Previous score in Lawton scale | 7 (7 – 7) / 7 (7 – 7) | – | 1 |
SAPS II, median | 32 . 0 ( 23 . 5 – 48 . 0 ) / 24 . 0 ( 13. 0 – 33 . 5 ) | 1. 07 ( 1. 02 – 1 . 12 ) | 0 . 011 |
APACHE II | 12 . 0 ( 10. 5 – 16. 0 ) / 7. 0 (4. 0 – 9. 0) | 1. 55 ( 1. 21 – 1. 98) | <0. 001 |
Length of PACU stay (hours) | 20 (18 – 80) / 21 (19 – 50) | 1.01 (0.99 – 1.03) | 0.276 |
Length of Hospital stay (days) | 14 (7 – 17) / 10 (7 – 13) | 1.00 (0.95 – 1.06) | 0.906 |