Table IV.
Overall anesthesia |
General vs spinal | General vs epidural | General vs MAC/local | ||||
---|---|---|---|---|---|---|---|
Outcomes | P | OR (95% CI) | Pa | OR (95% CI) | Pa | OR (95% CI) | Pa |
Renal morbidityb | |||||||
Unadjusted | .3398 | ||||||
Multivariable modelc | .2803 | ||||||
Pulmonary morbidityb | |||||||
Unadjusted | .0047 | 4.6 (1.5–14.4) | .0095 | 2.1 (0.9–5.3) | .0958 | 2.5 (1.0–6.2) | .0417 |
Multivariable modeld | .0126 | 4.0 (1.3– 12.5) | .0195 | 1.9 (0.8–4.7) | .1711 | 2.6 (1.0–6.4) | .0409 |
Mortalityb | |||||||
Unadjusted | .3536 | ||||||
Multivariable modele | .3463 | ||||||
Wound morbidityb | |||||||
Unadjusted | .0958 | ||||||
Multivariable modelf | .1403 | ||||||
Any morbidityb | |||||||
Unadjusted | .0279 | 1.4 (1.0–1.9) | .0831 | 0.9 (0.6–1.2) | .4626 | 1.6 (1.1–2.3) | .0181 |
Multivariable modelg | .0514 | ||||||
% Difference (95% CI) | P | % Difference (95% CI) | P | % Difference (95% CI) | P | ||
Length of stayh | |||||||
Unadjusted | <.0001 | 16.80 (10.8–23.1) | <.0001 | 5.20 (–0.9 to 11.6) | .0945 | 20.10 (13.7–26.9) | <.0001 |
Multivariable modelg | <.0001 | 10.00 (4.8–15.5) | .0001 | 3.60 (–1.9 to 9.4) | .2046 | 20.00 (14.1–26.2) | <.0001 |
CI, Confidence interval; MAC, monitored anesthesia care; OR, odds ratio.
P value for contrast.
Logistic regression.
Model covariates for renal: age, gender, race, current smoker, total work relative value units, femoral access, American Society of Anesthesiologists class, estimated glomerular filtration rate, functional status, body mass index, diabetes, hypertension, history of congestive heart failure.
Model covariates for pulmonary: age, gender, race, current smoker, total work relative value units, femoral access, American Society of Anesthesiologists class, estimated glomerular filtration rate, functional status, history of congestive heart failure, chronic obstructive pulmonary disease, angina, cerebrovascular accident; red blood cell transfusions, dyspnea.
Model covariates for mortality: age, gender, race, current smoker, total work relative value units, femoral access, American Society of Anesthesiologists class, estimated glomerular filtration rate functional status, body mass index; history of congestive heart failure, chronic obstructive pulmonary disease, angina, cerebrovascular accident; red blood cell transfusions, prior percutaneous transluminal coronary intervention, prior coronary artery bypass grafting.
Model covariates for wound: age, gender, race, current smoker, total work relative value units, femoral access, body mass index, diabetes, history of chronic obstructive pulmonary disease, operative time, long-term steroid use.
Model covariates for any morbidity and length of stay: age, gender, race, current smoker, total work relative value units, femoral access, American Society of Anesthesiologists class, estimated glomerular filtration rate, functional status, body mass index, diabetes; history of congestive heart failure, chronic obstructive pulmonary disease, angina, cerebrovascular accident; red blood cell transfusions, operative time.
Linear regression (log-transformed for analysis, back-transformed results are presented).