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. 2017 Aug 16;152(8):768–774. doi: 10.1001/jamasurg.2017.0918

Table 1. Univariate Analysis of Preoperative Patient Variables .

Preoperative Variable Surgery, No. (%) P Value
Elective
(n = 130 235)
Urgent
(n = 20 816)a
Emergency
(n = 22 592)
Age group, y
<65 91 732 (70.4) 14 281 (68.6) 16 911 (74.9) <.001
65-75 24 829 (19.1) 3323 (16.0) 2904 (12.9) <.001
75-85 11 524 (8.9)b 2432 (11.7) 2085 (9.2)b <.001
≥85 2150 (1.7) 780 (3.8) 692 (3.1) <.001
Female sex 78 522 (60.3) 11 371 (54.6) 11 739 (52.0) <.001
BMI classification
Underweight (<18.5) 2834 (2.2) 1407 (6.8) 2335 (10.3) <.001
Normal weight (18.5-24.9) 31 325 (24.1) 5824 (28.0) 6673 (29.5) <.001
Overweight (25.0-29.9) 37 537 (28.8)b 5930 (28.5)b 6451 (28.6)b .48
Obese
I (30.0-34.9) 25 069 (19.3) 3859 (18.5) 3735 (16.5) <.001
II (35.0-39.9) 14 422 (11.1) 2025 (9.7) 1793 (7.9) <.001
III (≥40.0) 19 048 (14.6) 1771 (8.5) 1605 (7.1) <.001
Independent functional status 128 475 (98.7) 19 488 (93.6) 21 546 (95.4) <.001
ASA classification
Class 1 9461 (7.3) 1681 (8.1) 4329 (19.2) <.001
Class 2 63 870 (49.0) 8306 (39.9)b 9075 (40.2)b <.001
Class 3 53 475 (41.1) 8887 (42.7) 6314 (28.0) <.001
Class 4 3429 (2.6) 1942 (9.3) 2874 (12.7) <.001
Class 5 0 0 0 NA
Chronic corticosteroid use 5338 (4.1) 1365 (6.6) 1064 (4.7) <.001
Ascites 314 (0.2) 315 (1.5) 462 (2.0) <.001
Presence of sepsis
SIRS 802 (0.6) 2481 (11.9) 3848 (17.0) <.001
Sepsis 290 (0.2) 1587 (7.6) 3449 (15.3) <.001
Septic shock 46 (0.04) 163 (0.8) 962 (4.3) <.001
Ventilator dependence 35 (0.03) 174 (0.8) 473 (2.1) <.001
Disseminated cancer 3843 (3.0) 982 (4.7) 589 (2.6) <.001
Diabetes
Type 1 6979 (5.4)b 1644 (7.9) 1198 (5.3)b <.001
Type 2 12 419 (9.5) 1727 (8.3) 1390 (6.2) <.001
Hypertension 56 683 (43.5) 8702 (41.8) 7498 (33.2) <.001
Cardiovascular event 0 0 0 NA
Congestive heart failure 341 (0.3) 346 (1.7) 267 (1.2) <.001
Dyspnea 8664 (6.7)b 1335 (6.4)b 1189 (5.3) <.001
Current smoker 20 901 (16.1) 4349 (20.9)b 4627 (20.5)b <.001
COPD 4284 (3.3) 1169 (5.6) 1055 (4.7) <.001
Hemodialysis dependent 1344 (1.0) 512 (2.5) 353 (1.6) <.001
Acute renal failure 158 (0.1) 142 (0.7) 288 (1.3) <.001

Abbreviations: ASA, American Society of Anesthesiologists; BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); COPD, chronic obstructive pulmonary disease; NA, not applicable; SIRS, systemic inflammatory response syndrome.

a

Urgent surgery is defined in the Patients and Variables subsection of the Methods section.

b

Denotes no significant difference among identified groups on multiple comparison (P > .05).