Table 3. Characteristics Associated with Survival and Overall Mortality at 30 Days After Surgery for Intestinal Obstruction.
Preoperative Variable | Alive at 30 Days (N= 308) % | Dead at 30 Days (N=68) % | P-value |
---|---|---|---|
Age | |||
<65 | 46.1 | 41.2 | 0.51 |
65-74 | 27.9 | 33.8 | |
75-84 | 22.7 | 19.1 | |
85+ | 3.3 | 5.9 | |
Sex, male | 48.1 | 63.2 | 0.03 |
Race, white | 76.9 | 91.1 | 0.04 |
Comorbid Disease: | |||
HTN (requiring medication) | 53.9 | 48.5 | 0.43 |
Diabetes | 14.0 | 14.7 | 0.85 |
Chronic Obstructive Pulmonary Disease | 12.0 | 22.1 | 0.05 |
Myocardial Infarction | 0 | 0 | 1.0 |
Congestive Heart Failure | 1.0 | 5.9 | 0.02 |
Peripheral Vascular Disease | 1.2 | 1.7 | 0.58 |
Renal failure | 3.2 | 5.9 | 0.29 |
Dialysis | 0.6 | 1.5 | 0.45 |
Preoperative Clinical Characteristics: | |||
Prehospital Location (Home) | 90.5 | 75.0 | <0.01 |
Independent Functional Status | 76.9 | 47.8 | <0.001 |
Do Not Resuscitate Order | 4.0 | 6.8 | 0.32 |
Chemotherapy use | 38.6 | 30.5 | 0.30 |
Steroid use | 8.1 | 7.4 | 1.0 |
Transfusions | 2.3 | 4.4 | 0.40 |
Smoking status | 15.9 | 25.0 | 0.08 |
ASA Class >3 | 28.2 | 48.5 | <0.01 |
Body Mass Index | 0.24 | ||
<18.5 | 14.3 | 7.4 | |
18.5-<25 | 46.4 | 45.6 | |
25+ | 39.3 | 47.1 | |
Ascites | 14.0 | 29.4 | <0.01 |
Bleeding disorder | 18.2 | 22.1 | 0.50 |
Dyspnea at rest | 2.3 | 16.2 | <0.001 |
Impaired Sensorium | 2.0 | 13.6 | <0.001 |
Pneumonia | 2.8 | 11.9 | <0.01 |
Sepsis | 5.8 | 16.2 | <0.01 |
Septic Shock | 3.6 | 7.4 | 0.18 |
Postoperative Events: | |||
Any Complication | 40.9 | 72.1 | <0.001 |
Respiratory Complication | 14.3 | 44.1 | <0.001 |
Hematologic Complication | 13.0 | 19.1 | 0.183 |
Wound Complication | 14.0 | 8.8 | 0.32 |
On Ventilator >48 hours | 2.3 | 11.8 | 0.002 |
Urologic Complication | 5.2 | 11.8 | 0.06 |
Deep Venous Thrombosis | 5.2 | 4.4 | 1.0 |
Pulmonary Embolus | 1.3 | 2.9 | 0.30 |
Cardiac Complication | 0.6 | 11.8 | <0.001 |
Neurologic Complication | 0 | 2.9 | 0.03 |
Fail to Rescue | 0 | 72.1 | <0.001 |
Unplanned Reoperation | 8.9 | 0 | 0.07 |
Unplanned Readmission | 9.3 | 33.3 | 0.900 |
Length of stay days (Median IQR) | 12(8-18) | 12.5(7.5-19.0) | 0.92* |
Wilcoxon Rank-Sum test
IQR=Interquartile Range