Table 4.
Comparison of postoperative complications associated with postoperative CAR
| Characteristics | CAR <2.2 (n = 188) | CAR ≥2.2 (n = 171) | P value |
|---|---|---|---|
| Overall, n (%)a, c | 35 (18.6) | 104 (60.8) | <0.001 |
| Grade I, n (%)a, c | 12 (6.4) | 25 (14.6) | 0.010 |
| Ileus | 4 (2.1) | 5 (2.9) | |
| Fever >38.5 °C after surgery | 5 (2.7) | 10 (5.8) | |
| Delayed gastric emptying | 1 (0.5) | 3 (1.8) | |
| Wound infection | 2 (1.1) | 5 (2.9) | |
| Urinary retention | 0 | 1 (0.6) | |
| Transient confusion | 0 | 1 (0.6) | |
| Grade II, n (%)a, c | 16 (8.5) | 43 (25.1) | <0.001 |
| Postoperative blood transfusions >2U | 9 (4.8) | 25 (14.6) | |
| TPN >2 weeks | 3 (1.6) | 5 (2.9) | |
| Pneumonia | 2 (1.1) | 2 (1.2) | |
| Urinary tract infection | 0 | 1 (0.6) | |
| Wound infection | 0 | 7 (4.1) | |
| Early postoperative bowel obstruction | 2 (1.1) | 0 | |
| Line sepsis | 0 | 3 (1.8) | |
| Grade III, n (%)a, c | 11 (5.9) | 38 (22.2) | <0.001 |
| Fascial dehiscence | 2 (1.1) | 2 (1.2) | |
| Abdomino-pelvic collection | 2 (1.1) | 3 (1.8) | |
| Pleural effusion | 1 (0.5) | 7 (4.1) | |
| Gastrointestinal bleeding | 0 | 1 (0.6) | |
| Acalculous choleycystitis | 0 | 3 (1.8) | |
| Intraabdominal bleeding | 0 | 1 (0.6) | |
| Anastomotic leakage | 3 (1.6) | 15 (8.8) | |
| Lymphatic leakage | 1 (0.5) | 0 | |
| Stoma complications | 0 | 1 (0.6) | |
| Early postoperative bowel obstruction | 0 | 1 (0.6) | |
| Intraabdominal abscess | 2 (1.1) | 4 (2.3) | |
| Grade IV, n (%)a, c | 1 (0.5) | 5 (2.9) | 0.176 |
| Septic shock | 0 | 1 (0.6) | |
| Sepsis | 0 | 1 (0.6) | |
| Respiratory failure | 0 | 1 (0.6) | |
| Kidney failure | 0 | 1 (0.6) | |
| MODS | 1 (0.5) | 1 (0.6) | |
| Grade V, n (%)a, c | 0 | 0 | |
| Grade III or greater, n (%)a, c | 12 (6.4) | 43 (25.1) | <0.001 |
| Postoperative stay (days)b | 7 (3–78) | 10 (4–71) | <0.001 |
| Surgical site infection (+), SSI (+), n (%)c | 9 (4.8) | 36 (21.1) | <0.001 |
CAR CRP to albumin (CRP/ALB) ratio, CRP C-reactive protein, ALB albumin
aClavien-Dindo’s classification of surgical complication
bValues are expressed as the median (range)
cValues are expressed as n (%)