TABLE 2.
Incidence of Major In-hospital Complications, Mortality, and Resource Utilization by Group of Anesthesia
Complications
| |||||||
---|---|---|---|---|---|---|---|
Neuraxial
|
Neuraxial/General
|
General
|
P | ||||
n | % | n | % | n | % | ||
Deep venous thrombosis | 9 | 0.4 | 17 | 0.4 | 143 | 0.6 | 0.1327 |
Pulmonary embolism | 15 | 0.5 | 20 | 0.4 | 144 | 0.6 | 0.1018 |
Cerebrovascular event | 4 | 0.1 | 4 | 0.1 | 23 | 0.1 | 0.9383 |
Pulmonary complications | 49 | 1.8 | 79 | 1.9 | 475 | 2.2 | 0.2622 |
Cardiac (non–myocardial infarction) | 277 | 9.0 | 401 | 9.3 | 2103 | 9.2 | 0.9 |
Pneumonia | 44 | 1.3 | 54 | 1.1 | 343 | 1.6 | 0.0605 |
All infections | 125 | 3.8 | 192 | 4.2 | 1022 | 4.6 | 0.1166 |
Acute renal failure | 82 | 2.8 | 125 | 2.7 | 701 | 3.2 | 0.1172 |
Gastrointestinal complication | 29 | 0.9 | 43 | 0.9 | 298 | 1.3 | 0.0657 |
Acute myocardial infarction | 11 | 0.4 | 10 | 0.2 | 54 | 0.2 | 0.258 |
Mortality (30-d) | 3 | 0.1 | 9 | 0.2 | 48 | 0.2 | 0.2879 |
Blood transfusion | 438 | 12.7 | 592 | 12.4 | 3230 | 13.8 | 0.0273* |
Mechanical ventilation | 119 | 2.8 | 139 | 2.8 | 945 | 4.4 | <0.0001* |
Critical care services admission | 97 | 3.1 | 190 | 4.8 | 1647 | 6.9 | <0.0001* |
(MI = myocardial infarction).
The P value indicates testing of the null hypothesis (= no difference across all three groups: neuraxial [N], neuraxial/general [NG], and general [G]): χ2 test (for categorical outcomes).
Significant P values from post hoc comparisons: for outcome of blood transfusion: P = 0.0173(G vs NG); for outcome of mechanical ventilation: P < 0.0001 (G vs NG) and P < 0.001 (G vs N); for critical care service admission: P < 0.0001(G vs NG), P = 0.0015 (N vs NG), and P < 0.001 (G vs N).