From: Intraoperative hypotension is associated with shortened overall survival after lung cancer surgery
Factors | Variables (n = 515) | Univariate HR (95% CI) a | p value |
---|---|---|---|
Age (yr.) | 61 (53–67) | 1.201 (0.941–1.533) | 0.141 |
Body mass index (kg m− 2) | 24.2 (22.2–26.1) | 0.956 (0.921–0.992) | 0.018 |
Male sex | 328 (63.7%) | 1.473 (1.132–1.916) | 0.004 |
Chronic smoking b | 277 (53.8%) | 1.296 (1.015–1.656) | 0.038 |
Preoperative comorbidity | |||
 Coronary heart disease | 30 (5.8%) | 0.868 (0.507–1.487) | 0.606 |
 Hypertension | 135 (26.2%) | 0.644 (0.478–0.869) | 0.004 |
 Diabetes mellitus | 56 (10.9%) | 0.889 (0.597–1.324) | 0.563 |
 Stroke | 17 (3.3%) | 1.417 (0.775–2.592) | 0.258 |
Preoperative chemotherapyc | 57 (11.1%) | 1.608 (1.136–2.278) | 0.007 |
Charlson Comorbidity Index d | 0 (0–0) | 1.010 (0.798–1.279) | 0.934 |
ASA classification | |||
 I | 183 (35.5%) | 1.000 |  |
 II + III | 332 (64.5%) | 0.851 (0.663–1.093) | 0.205 |
Pre-anesthesia SBP (mmHg) e | |||
  < 120 | 85 (16.5%) | 1.000 |  |
 120–139 | 153 (29.7%) | 1.093 (0.758–1.576) | 0.633 |
 140–159 | 158 (30.7%) | 0.808 (0.556–1.175) | 0.264 |
  ≥ 160 | 119 (23.1%) | 1.015 (0.690–1.492) | 0.940 |
Combined epidural-general anesthesia (vs. general anesthesia) | 110 (21.4%) | 0.948 (0.707–1.272) | 0.723 |
Use of general anesthetics | |||
 Propofol (vs. no use) | 459 (89.1%) | 1.207 (0.799–1.823) | 0.372 |
 Etomidate (vs. no use) | 118 (22.9%) | 0.944 (0.814–1.094) | 0.446 |
 Nitrous oxide (vs. no use) | 94 (18.3%) | 0.951 (0.820–1.102) | 0.504 |
 Sevoflurane (vs. no use) | 198 (38.4%) | 0.944 (0.739–1.207) | 0.647 |
 Isoflurane (vs. no use) | 310 (60.2%) | 1.067 (0.835–1.365) | 0.603 |
Perioperative sufentanil equivalent (μg) | 280 (93–320) | 0.999 (0.998–1.000) | 0.033 |
Perioperative use of dexamethasone | 266 (51.7%) | 0.776 (0.608–0.989) | 0.041 |
Perioperative use of flurbiprofen axetil | 311 (60.4%) | 0.761 (0.596–0.971) | 0.028 |
Intraoperative crystalloid (ml) | 1350 (1100–1600) | 1.000 (1.000–1.000) | 0.434 |
Intraoperative artificial colloid (ml) | 500 (500–1000) | 1.000 (1.000–1.000) | 0.538 |
Intraoperative vasoactive drugs | 101 (19.6%) | 1.067 (0.793–1.437) | 0.668 |
Intraoperative blood transfusion | 9 (1.7%) | 3.018 (1.490–6.109) | 0.002 |
Duration of surgery (hr.) | 4.0 (3.0–4.0) | 0.952 (0.853–1.064) | 0.386 |
Conservative resection or biopsy (vs. other types of surgery) f | 45 (8.9%) | 2.995 (2.112–4.247) | < 0.001 |
Mediastinal lymph node dissection | 461 (89.5%) | 0.429 (0.307–0.599) | < 0.001 |
Histological type as small-cell lung cancer | 16 (3.1%) | 2.584 (1.477–4.521) | 0.001 |
Maximal tumor size (cm) | 3.0 (2.0–4.0) | 1.175 (1.106–1.249) | < 0.001 |
Tumor differentiation | |||
 Highly differentiated | 62 (11.0%) | 1.000 |  |
 Moderately differentiated | 315 (61.2%) | 2.047 (1.257–3.332) | 0.004 |
 Poorly differentiated | 60 (11.7%) | 3.671 (2.116–6.369) | < 0.001 |
 Undifferentiated | 78 (15.1%) | 2.420 (1.390–4.214) | 0.002 |
Pathological TNM stage g | Â | Â | Â |
 I | 201 (41.5%) | 1.000 |  |
 II | 100 (20.7%) | 2.762 (1.879–4.060) | < 0.001 |
 III | 140 (28.9%) | 4.388 (3.118–6.176) | < 0.001 |
 IV | 43 (8.9%) | 6.781 (4.398–10.457) | < 0.001 |
Occurrence of postoperative complications h | 370 (71.8%) | 1.387 (1.043–1.845) | 0.024 |
Postoperative chemo−/radiotherapy | 283 (55.0%) | 1.531(1.198–1.957) | 0.001 |