Table 4.
Disease factors associated with postoperative mortality, OR (95% CI)
| Disease factor | Arenal et al.20 | Cook et al.9 | Fukuda et al.21 | Kwok et al.23 | McGillicuddy et al.24 | Modini et al.25 | Okubo et al.26 | Vaughan-Shaw et al.27 |
|---|---|---|---|---|---|---|---|---|
| APACHE-II score | — | — | OR 1.13 (0.92–1.38) | — | — | — | — | — |
| POSSUM score | — | — | PS: OR 1.20 (1.03–1.42)* | — | — | — | — | — |
| OSS: OR 1.02, (0.85–1.23) | ||||||||
| Presence of intestinal obstruction | OR 1.04 (0.97–1.12) | NS | — | NS | — | — | — | — |
| Creatinine > 1.5 mg/dL | — | — | OR 2.57 (1.97–3.36)* | NS | — | — | — | |
| N/L ratio | — | — | — | — | — | — | — | OR 1.03 (1.01–1.06)* |
| ≥ 2 failing organs | — | — | OR 5.51 (1.97–15.4)* | — | ||||
| Presence of GI bleeding | OR 1.12 (0.96–1.30) | — | — | NS | — | NS | — | — |
| Presence of mesenteric ischemia | OR 1.29 (1.08–1.53)* | — | — | NS | — | OR 4.33 (0.89–21.11) | — | — |
| Presence of SIRS/sepsis | — | NS | — | OR 2.13 (1.60–2.82)* | OR 5.26 (1.21–22.5)* | NS | — | — |
| Presence of peritonitis | OR 1.04 (0.96–1.13) | — | — | — | — | NS | — | — |
| Metastatic disease | OR 1.03 (0.91–1.17) | — | — | OR 2.00 (1.08–3.71)* | — | NS | NS | — |
APACHE-II = Acute Physiology and Chronic Health Evaluation II; CI = confidence interval; GI = gastrointestinal; N/L = neutrophil/lymphocyte; NS: not significant; OR = odds ratio; OSS = operative severity score; POSSUM = Physiologic and Operative Severity Score for the enUmeration of Mortality and Morbidity; PS = physiologic score; SIRS = systemic inflammatory response syndrome.
Prognostic factor not considered in analysis.
*
p < 0.05.