Table 2.
Overall Complications, Major Complications, and Mortality for Patients Undergoing Pancreatic Resection Stratified by Age, ACS-NSQIP Pancreatectomy Demonstration Project, 2011–2012 (N=2,694)
| Overall Rates N=2,694 |
Patients ≥ 80 N=198 |
Patients < 80 N=2,496 |
p value* | |
|---|---|---|---|---|
| N (%) | N (%) | N (%) | ||
| In hospital Mortality | 34 (1.3%) | 6 (3.0%) | 28 (1.1%) | 0.02 |
| Overall Complications | 1,111 (41.2%) | 78 (39.4%) | 1,033 (41.4%) | 0.58 |
| Major Complicationsa | 768 (28.5%) | 58 (29.3%) | 710 (28.5%) | 0.79 |
| Specific Complications | ||||
| Perioperative Bleeding | 579 (21.5%) | 63 (31.8%) | 516 (20.7%) | 0.0002 |
| SSI | 513 (19.0%) | 35 (17.7%) | 478 (19.2%) | 0.61 |
| Pancreatic Fistula | 402 (14.9%) | 27 (14.3%) | 375 (15.6%) | 0.62 |
| Delayed Gastric Emptying | 344 (12.8%) | 25 (13.4%) | 319 (13.3%) | 0.98 |
| Organ Space SSI | 258 (9.6%) | 24 (12.1%) | 234 (9.4%) | 0.21 |
| Superficial SSI | 226 (8.4%) | 10 (5.1%) | 216 (8.7%) | 0.08 |
| Postoperative Sepsis | 208 (7.7%) | 9 (4.6%) | 199 (8.0%) | 0.08 |
| DVT and Pulmonary Embolism | 110 (4.1%) | 11 (5.6%) | 99 (4.0%) | 0.30 |
| UTI | 103 (3.8%) | 5 (2.5%) | 98 (3.9%) | 0.32 |
| Postoperative Pneumonia | 101 (3.7%) | 11 (5.6%) | 90 (3.6%) | 0.16 |
| Reoperation | 93 (3.5%) | 10 (5.1%) | 83 (3.4%) | 0.20 |
| Septic Shock | 92 (3.4%) | 12 (6.1%) | 80 (3.2%) | 0.03 |
| Unplanned Intubation | 87 (3.2%) | 13 (6.6%) | 74 (3.0%) | 0.006 |
| Ventilator >48 Hours | 80 (2.9%) | 9 (4.6%) | 71 (2.8%) | 0.17 |
| Deep SSI | 56 (2.1%) | 2 (1.0%) | 54 (2.2%) | 0.27 |
| Acute Renal Failure and Renal Insufficiency | 45 (1.7%) | 3 (1.5%) | 42 (1.7%) | 0.86 |
| Wound Disruption | 40 (1.5%) | 4 (2.0%) | 36 (1.4%) | 0.52 |
| MI | 26 (0.9%) | 4 (2.0%) | 22 (0.9%) | 0.11 |
| CPR | 19 (0.7%) | 2 (1.0%) | 17 (0.7%) | 0.59 |
| CVA | 9 (0.3%) | 0 | 9 (0.4%) | 0.40 |
| Failure to Rescue Overall | 34 (3.1%) | 6 (7.7%) | 28 (2.7%) | 0.01 |
Major complications defined as one or more of the following in the absence of preoperative pneumonia, preoperative surgical site infection (SSI), or preoperative ventilator dependence: organ space surgical site infection, postoperative sepsis or septic shock, wound disruption, reoperation, pulmonary embolism, deep venous thrombosis, need for cardiopulmonary resuscitation, postoperative myocardial infarction
p values represent differences between subgroups for each category
The denominator for failure to rescue is the number of patients with postoperative complications