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Table 2 Baseline and intraoperative variables

From: Intraoperative hypotension is associated with increased postoperative complications in patients undergoing surgery for pheochromocytoma-paraganglioma: a retrospective cohort study

Variables

Without postoperative complications (n = 284)

With postoperative complications (n = 43)

P value a

Age (years)

46 ± 15

48 ± 16

0.379

Male gender b

119 (41.9%)

28 (65.1%)

0.004

BMI (kg/m2)

23.3 ± 3.5

23.2 ± 3.7

0.811

Preoperative comorbidity

 Diabetes mellitus

38 (13.4%)

12 (27.9%)

0.014

 Coronary heart disease

18 (6.3%)

1 (2.3%)

0.487

 Previous stroke

9 (3.2%)

7 (16.3%)

0.002

ASA classification b

  

0.223

 1

14 (4.9%)

2 (4.7%)

 

 2

210 (73.9%)

26 (60.5%)

 

 3

59 (20.8%)

15 (34.9%)

 

 4

1 (0.4%)

0 (0.0%)

 

Preoperative examination

 Hemoglobin (g/L)

134 ± 18

133 ± 24

0.851

 Serum catecholamine

  Dopamine (pmol/L)

0.10 (0.05 to 0.31)

0.10 (0.06 to 0.44)

0.412

  Norepinephrine (pmol/L)

11.7 (4.3 to 26.7)

15.3 (4.9 to 33.1)

0.397

  Epinephrine (pmol/L)

0.45 (0.09 to 0.90)

0.66 (0.28 to 1.20)

0.100

 Maximal tumor diameter (cm) b,c

5.3 ± 2.2

6.7 ± 3.2

0.012

 Paraganglioma b

53 (18.7%)

16 (37.2%)

0.005

Preoperative antihypertensives

 α-AR antagonist d

246 (86.6%)

37 (86.0%)

0.918

  Selective α1-AR antagonist

144 (58.5%)

20 (54.1%)

0.607

 β-AR antagonist

65 (22.9%)

12 (27.9%)

0.470

 Calcium channel blocker

73 (25.7%)

20 (46.5%)

0.005

 Combined b

83 (29.2%)

22 (51.2%)

0.004

Intravenous fluid

140 (49.6%)

22 (51.2%)

0.853

Preoperative SBP (mmHg)

125 ± 17

131 ± 13

0.040

Preoperative DBP (mmHg)

77 ± 12

81 ± 10

0.025

Preoperative HR (bpm)

74 ± 11

78 ± 9

0.020

Period of surgery b

  

0.005

 2005–2009

65 (22.9%)

7 (16.3%)

 

 2010–2013

61 (21.5%)

19 (44.2%)

 

 2014–2017

158 (55.6%)

17 (39.5%)

 

Duration of anesthesia (min)

214 ± 82

308 ± 148

< 0.001

Type of anesthesia b

  

0.055

 General

188 (66.2%)

22 (51.2%)

 

 Combined epidural-general e

96 (33.8%)

21 (48.8%)

 

Duration of surgery (min) b

129 ± 75

223 ± 148

< 0.001

Type of surgery b

  

0.015

 Open

89 (31.3%)

23 (53.5%)

 

 Laparoscopic

192 (67.6%)

20 (46.5%)

 

 Transurethral

3 (1.1%)

0 (0.0%)

 

Estimated blood loss (ml)

100 (50 to 300)

500 (100 to 1800)

< 0.001

Minimal hemoglobin (g/L)

110 ± 22

96 ± 22

0.001

Blood transfusion b,f

37 (13.0%)

20 (46.5%)

< 0.001

Positive fluid balance (ml)

2200 (1500 to 3025)

3150 (2350 to 5475)

0.001

Use of antihypertensives

243 (85.6%)

41 (95.3%)

0.077

Combined antihypertensives b,g

173 (60.9%)

34 (79.1%)

0.021

Use of vasopressors b

129 (45.4%)

33 (76.7%)

< 0.001

Combined vasopressors h

46 (16.2%)

16 (37.2%)

0.001

  1. Data are presented as mean ± SD, number (%), or median (interquartile range)
  2. BMI Body mass index, ASA American Society of Anesthesiologists, AR Adrenergic receptor, SBP Systolic blood pressure, DBP Diastolic blood pressure, HR Heart rate
  3. a Comparison between patients with or without postoperative complications
  4. b Variables adjusted in the multivariate model
  5. c Confirmed by postoperative pathologic examination results
  6. d Including phenoxybenzamine, doxazosin and terazosin. Forty four patients did not receive α-AR antagonist therapy due to normal blood pressure and serum catecholamine level before surgery. Diagnosis of pheochromocytoma was confirmed by postoperative pathologic examination
  7. e These patients also received postoperative patient-controlled epidural analgesia (PCEA)
  8. f Includes packed red blood cell, fresh frozen plasma, and/or concentrated platelet
  9. g Combined use of two or more intravenous antihypertensive drugs, including phentolamine, urapidil, nicardipine and/or esmolol
  10. h Combined use of two or more intravenous vasopressors, including phenylephrine, norepinephrine, and/or epinephrine