Table 5.
Characteristics | Medical Complications, OR (95% CI) | Surgical Complications, OR (95% CI) | Disposition Other Than Home, OR (95% CI) | Postoperative Death, OR (95% CI) | |||||
---|---|---|---|---|---|---|---|---|---|
Any | Cardiovascular | Respiratory | Any | Bowel | Urinary | Wound | |||
Patient characteristics | |||||||||
Age, y [vs <55] | |||||||||
55–64 | 1.25 (0.99–1.58) | 3.71 (1.81–7.62) | 1.34 (0.97–1.86) | 0.98 (0.79–1.23) | 1.07 (0.82–1.39) | 1.32 (0.57–3.06) | 1.08 (0.60–1.97) | 1.14 (0.92–1.41) | 2.54 (0.54–12.0) |
65–74 | 1.54 (1.18–2.01) | 7.86 (4.01–15.9) | 1.13 (0.78–1.64) | 1.02 (0.81–1.29) | 1.04 (0.78–1.37) | 1.23 (0.56–2.73) | 1.41 (0.68–2.93) | 1.55 (1.23–1.96) | 3.68 (0.82–16.5) |
≥75 | 2.24 (1.69–2.97) | 12.9 (6.53–25.5) | 1.31 (0.89–1.94) | 1.08 (0.85–1.37) | 1.16 (0.86–1.56) | 1.18 (0.53–2.61) | 1.34 (0.61–2.95) | 2.64 (1.99–3.40) | 7.86 (1.75–35.4) |
Female sex | 1.20 (1.03–1.40) | 0.69 (0.58–0.83) | 1.31 (1.11–1.55) | ||||||
Nonwhite race | 0.92 (0.73–1.17) | 0.60 (0.39–0.92) | 0.83 (0.61–1.12) | 0.88 (0.69–1.12) | |||||
Insurer [vs private] | |||||||||
Medicare | 1.08 (0.93–1.26) | 1.08 (0.84–1.39) | 1.39 (1.06–1.84) | 1.26 (1.05–1.53) | 1.20 (0.97–1.48) | 1.20 (0.71–2.01) | 1.19 (0.98–1.44) | 2.24 (1.04–4.81) | |
Medicaid/other | 1.03 (0.77–1.38) | 1.07 (0.64–1.79) | 1.16 (0.79–1.68) | 0.87 (0.65–1.17) | 0.93 (0.67–1.29) | 1.29 (0.58–2.86) | 1.03 (0.79–1.36) | 0.98 (0.20–4.82) | |
Comorbid conditions | |||||||||
Congestive heart failure | 4.77 (3.54–6.45) | 4.30 (3.27–5.66) | 2.88 (2.16–3.83) | 1.35 (1.06–1.72) | 1.16 (0.89–1.50) | 1.60 (0.76–3.38) | 1.15 (0.64–2.04) | 1.67 (1.20–2.31) | 5.08 (3.20–8.05) |
Valvular disease | 1.51 (1.09–2.09) | 2.40 (1.68–3.44) | 1.25 (0.85–1.83) | 1.31 (0.91–1.89) | |||||
Pulmonary circulation disease | 1.65 (0.68–3.97) | 2.33 (0.95–5.71) | 1.52 (0.72–3.24) | ||||||
Peripheral vascular disease | 1.33 (0.92–1.91) | 0.76 (0.54–1.06) | 0.17 (0.02–1.23) | ||||||
Paralysis | 1.95 (1.13–3.35) | 1.48 (0.87–2.52) | |||||||
Chronic pulmonary disease | 1.65 (1.43–1.90) | 1.34 (1.10–1.64) | 2.62 (2.21–3.11) | 1.17 (1.02–1.35) | 1.16 (0.98–1.36) | 1.56 (1.12–2.18) | 1.33 (1.13–1.57) | 1.87 (1.21–2.88) | |
Hypothyroidism | 0.82 (0.61–1.12) | 0.62 (0.44–0.89) | 0.94 (0.70–1.27) | ||||||
Renal failure | 2.15 (0.78–5.94) | 1.56 (0.57–3.92) | 2.50 (0.96–6.53) | 1.30 (0.26–6.40) | |||||
Liver disease | 3.28 (1.38–7.78) | 5.67 (0.91–35.2) | |||||||
Rheumatoid arthritis/CVD | 1.48 (0.78–2.80) | 0.38 (0.13–1.12) | 0.54 (0.31–0.92) | 0.55 (0.28–1.08) | |||||
Coagulopathy | 2.57 (1.67–3.94) | 2.25 (1.38–3.65) | 1.98 (1.25–3.14) | 2.50 (1.69–3.70) | 1.28 (0.85–1.93) | ||||
Obesity | 1.57 (1.05–2.34) | 0.79 (0.44–1.41) | 2.05 (1.18–3.57) | 0.86 (0.60–1.24) | 0.79 (0.52–1.21) | 1.31 (0.59–2.93) | |||
Weight loss | 5.57 (3.86–8.04) | 1.80 (1.15–2.82) | 2.96 (2.04–4.29) | 5.40 (3.68–7.95) | 4.75 (3.35–6.73) | 2.00 (0.93–4.30) | 3.30 (2.00–5.46) | 1.76 (1.18–2.62) | 2.12 (1.05–4.25) |
Deficiency anemia | 1.57 (1.23–1.83) | 0.69 (0.56–0.85) | 1.75 (1.01–3.05) | 0.49 (0.26–0.92) | 1.26 (1.02–1.55) | 0.40 (0.15–1.10) | |||
Alcohol abuse | 1.53 (1.01–2.32) | 2.86 (0.89–9.20) | |||||||
Psychoses | 1.34 (0.66–2.71) | 2.10 (1.09–4.07) | |||||||
Depression | 12.9 (8.15–20.5) | 20.1 (5.75–42.5) | 0.77 (0.51–1.16) | ||||||
Provider characteristics | |||||||||
Hospital type [vs urban teaching] | |||||||||
Urban nonteaching | 1.11 (0.95–1.30) | 0.91 (0.75–1.11) | 1.12 (0.91–1.38) | 1.23 (1.03–1.48) | 1.14 (0.94–1.38) | 1.59 (1.02–2.49) | 1.33 (0.97–1.82) | 1.18 (0.93–1.50) | 0.84 (0.51–1.40) |
Rural | 0.94 (0.69–1.29) | 0.88 (0.63–1.24) | 0.83 (0.55–1.22) | 1.11 (0.87–1.43) | 0.91 (0.66–1.27) | 2.04 (0.89–4.67) | 1.29 (0.74–2.11) | 0.98 (0.72–1.34) | 1.33 (0.68–2.61) |
High-volume hospitala | 0.98 (0.82–1.16) | 0.85 (0.69–1.05) | 1.01 (0.84–1.22) | 0.59 (0.37–0.97) |
OR indicates odds ratio; 95% CI, 95% confidence interval; CVD, collagen vascular disease.
Based on 90th percentile hospital volume or >14 cases over the study period.