Table 4.
Model of inpatient death for bile duct reconstruction
| Unadjusted OR | [95% CI] | Adjusted OR | [95% CI] | |||
|---|---|---|---|---|---|---|
| Indication | ||||||
| Non-malignant disease | Ref | |||||
| Biliary injury or trauma | 1.429 | 1.068 | 1.914 | 1.757 | 1.240 | 2.489 |
| Malignant disease | 2.091 | 1.719 | 2.543 | 2.147 | 1.703 | 2.706 |
| Type of Bile duct reconstruction | ||||||
| Choledochoenterostomy | Ref | |||||
| Choledochoplasty | 0.946 | 0.727 | 1.232 | 0.935 | 0.667 | 1.311 |
| Closure of biliary fistula | 0.945 | 0.663 | 1.347 | 1.022 | 0.666 | 1.570 |
| Excision of bile duct | 1.002 | 0.662 | 1.518 | 0.804 | 0.490 | 1.319 |
| Revision of biliary anastomosis | 3.302 | 2.183 | 4.996 | 3.053 | 1.890 | 4.934 |
| Gender | ||||||
| Male | 1.293 | 1.093 | 1.529 | 0.908 | 0.745 | 1.106 |
| Female | Ref | |||||
| Payer Type | ||||||
| Private Insurance | Ref | |||||
| Public Insurance | 3.061 | 2.474 | 3.786 | 1.641 | 1.224 | 2.200 |
| Other Insurance | 1.190 | 0.767 | 1.846 | 1.560 | 0.988 | 2.463 |
| Age category | ||||||
| Younger than 40 years | Ref | |||||
| Age 40–64 years | 3.558 | 1.741 | 7.272 | 2.827 | 1.381 | 5.786 |
| Age > 64 years | 10.463 | 5.295 | 20.673 | 6.324 | 3.024 | 13.224 |
| Elixhauser Score | ||||||
| 0 | Ref | |||||
| 1 | 1.616 | 1.063 | 2.457 | 0.883 | 0.576 | 1.356 |
| 2 | 2.079 | 1.402 | 3.085 | 0.837 | 0.556 | 1.258 |
| ≥3 | 3.644 | 2.512 | 5.287 | 0.931 | 0.623 | 1.390 |
| Elective status | ||||||
| Elective | Ref | |||||
| Non-elective | 1.498 | 1.259 | 1.781 | 1.125 | 0.908 | 1.394 |
| Complications | ||||||
| Post-operative infection | 3.770 | 3.068 | 4.633 | 2.001 | 1.584 | 2.528 |
| Acute renal failure | 13.595 | 11.400 | 16.211 | 7.858 | 6.289 | 9.819 |
| Operative bleeding | 4.185 | 3.275 | 5.347 | 2.481 | 1.883 | 3.270 |
| GI bleed | 6.286 | 4.526 | 8.731 | 3.154 | 2.123 | 4.684 |
| DVT/PE | 4.778 | 3.118 | 7.321 | 2.270 | 1.285 | 4.013 |
| Acute MI | 8.257 | 5.650 | 12.066 | 3.065 | 1.783 | 5.268 |
| Acute liver failure | 15.530 | 11.491 | 20.989 | 6.510 | 4.413 | 9.604 |
| Concomitant diagnoses | ||||||
| Cholangitis | 1.346 | 1.043 | 1.736 | 1.144 | 0.837 | 1.564 |
| Acute pancreatitis | 1.484 | 1.128 | 1.954 | 1.189 | 0.846 | 1.672 |
| Hospital teaching status | ||||||
| Teaching | Ref | |||||
| Non-teaching | 1.201 | 0.988 | 1.460 | 1.273 | 1.012 | 1.601 |
CI, confidence interval; DVT/PE, deep vein thrombosis/pulmonary embolism; GI, gastrointestinal; MI, myocardial infarction; OR, odds ratio.
Other covariates in the model: Elixhauser score, gender, elective status, cholangitis, acute pancreatitis. Bold values represent statistically significant odds ratio.