Table 3.
Risk Factors for a CAE Between Hospitals That Did and Did Not Routinely Perform an Anastomotic Leak Test After Ileorectal or Colorectal Anastomoses
| Routine Anastomotic Leak Test | No Routine Anastomotic Leak Test | |||
|---|---|---|---|---|
| Characteristic | Unadjusted OR of CAE (95% CI) |
Adjusted OR of CAE (95% CI) |
Unadjusted OR of CAE (95% CI) |
Adjusted OR of CAE (95% CI) |
| Leak test performed | 0.50 (0.17–1.47) | 0.23 (0.05–0.99) | 1.44 (0.88–2.38) | 2.68 (1.14–6.26) |
| Age, y | 1.0 (0.99–1.02) | 1.01 (0.98–1.04) | 1.01 (1.00–1.02) | 1.02 (0.99–1.04) |
| Male sex | 1.97 (1.22–3.20) | 3.38 (1.56–7.36) | 1.49 (1.01–2.20) | 0.97 (0.51–1.84) |
| Smoker | 1.76 (1.03–2.99) | 2.01 (0.94–4.33) | 1.07 (0.65–1.77) | 1.3 (0.58–2.91) |
| BMI >30 | 0.76 (0.45–1.31) | 0.64 (0.27–1.52) | 1.08 (0.70–1.66) | 1.23 (0.61–2.47) |
| Albumin level <3 g/dL | 3.24 (1.52–6.90) | 4.34 (1.81–10.41) | 1.89 (0.95–3.76) | 2.16 (0.95–4.90) |
| Diabetes mellitus | 1.15 (0.58–2.29) | 0.98 (0.29–3.33) | 1.58 (0.94–2.63) | 0.8 (0.28–2.27) |
| Charlson comorbidity index | ||||
| 1 | 1.35 (0.77–2.34) | 1.42 (0.51–3.93) | 1.45 (0.14–15.35) | 1.94 (0.84–4.46) |
| 2 | 0.89 (0.26–2.99) | 1.59 (0.31–8.19) | 1.27 (0.51–3.18) | 1.16 (0.28–4.88) |
| ≥3 | 5.68 (1.46–22.17) | 8.49 (1.43–50.41) | 3.34 (1.06–10.50) | 1.45 (0.14–15.35) |
| Immunosuppressed | 2.45 (0.91–6.56) | 2.39 (0.51–11.12) | 3.03 (1.63–5.67) | 3.69 (1.44–9.42) |
| Type of operation | 1.08 (0.74–1.57) | 1.55 (1.01–2.37) | 1.06 (0.82–1.37) | 1.04 (0.69–1.59) |
| Laparoscopic approach | 0.42 (0.23–0.79) | 0.46 (0.16–1.28) | 1.01 (0.65–1.57) | 1.25 (0.60–2.63) |
| Operative time | 1.14 (0.98–1.31) | 1.0 (0.99–1.00) | 1.19 (1.08–1.32) | 1.0 (1.00–1.01) |
| Year of operation | 0.84 (0.65–1.08) | 0.9 (0.51–1.57) | 0.94 (0.81–1.10) | 0.87 (0.59–1.27) |
Abbreviations: BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); CAE, composite adverse event; OR, odds ratio.
SI conversion factor: To convert albumin to grams per liter, multiply by 10.