Table 3.
Univariate and multivariate analysis of variables found to be significantly associated with morbidity
Patients (n = 652) | No. of complications | Univariate unadjusted odds ratio (95% CI) | Multivariate adjusted odds ratio (95% CI) | |
---|---|---|---|---|
Age (per 10-year increment) | 1.18 (1.02–1.37) | |||
Sex | ||||
Female | 293 | 132 (45.1) | 1.00 | |
Male | 359 | 199 (55.4) | 1.51 (1.06–2.15) | |
BMI (per point increment) | 1.05 (1.01–1.10) | |||
Hypertension | ||||
No | 628 | 305 (48.6) | 1.00 | |
Yes | 24 | 15 (63) | 1.63 (1.04–2.55) | |
Cardiac history | ||||
No | 616 | 296 (48.1) | 1.00 | |
Yes | 36 | 22 (61) | 1.74 (1.13–2.70) | |
Pulmonary history | ||||
No | 552 | 267 (48.4) | 1.00 | |
Yes | 100 | 68 (68) | 2.29 (1.32–3.98) | 2.05 (1.15–3.67) |
Blood loss (per 100 ml increment) | 1.02 (1.00–1.04) | |||
Type of tumor | ||||
Pancreatic adenocarcinoma | 233 | 107 (46) | 1.00 | |
Ampulla of Vater adenocarcinoma | 157 | 93 (59) | 1.72 (1.08–2.73) | 1.73 (1.07–2.80) |
Distal bile duct adenocarcarcinoma | 91 | 41 (45) | 0.96 (0.55–1.68) | |
Pancreatitis | 72 | 34 (47) | 1.05 (0.57–1.94) | |
Duodenum adenocarcinoma | 14 | 9 (64) | 2.36 (0.69–8.10) | |
Other malignancy | 46 | 22 (48) | 1.06 (0.53–2.14) | |
Other benign | 26 | 15 (58) | 1.53 (0.64–3.67) | |
Tubulovillus adenoma | 13 | 10 (77) | 4.71 (0.97–22.81) |
Numbers in parentheses are percentages unless indicated otherwise
Factors analyzed in univariate analysis that were not significant include: diabetes, American Society of Anesthesiologists classification, surgeon’s experience, classical Whipple or pylorus-preserving pancreatoduodenectomy, transsection with surgical knife or linear stapler, use of multicomponent fibrin sealant, single or Roux-en-Y jejunal loop, one- or two layer anastomosis, drainage of pancreatic or biliary duct, packed cells transfused, use of octreotide and microscopic completeness of pancreatic resection plane in case of malignancy. Pancreatic texture was not scored regularly and was therefore omitted from the analysis