Table 4.
Risk of prolonged length of stay (LOS), 30-day serious morbidity and mortality for components of the Charlson comorbidity Index (CCI) and the modified frailty index (mFI).
| Predictor | Prolonged LOS | Serious Morbidity | Mortality | |||
|---|---|---|---|---|---|---|
| OR (95%CI) | P value | OR (95%CI) | P value | OR (95%CI) | P value | |
| mFI Component | ||||||
| Impaired Functional Status | 1.49 (1.16–1.92) | 0.002 | 1.45 (1.11–1.89) | 0.007 | 1.61 (1.20–2.17) | 0.002 |
| Pneumonia | 1.72 (0.83–3.56) | 0.15 | 1.71 (0.81–3.58) | 0.16 | 1.97 (0.89–4.38) | 0.10 |
| History of PCI/PCS/Angina | 1.02 (0.64–1.63) | 0.93 | 0.97 (0.59–1.61) | 0.91 | 1.16 (0.66–2.04) | 0.61 |
| Hypertension | 1.50 (1.12–1.99) | 0.006 | 1.08 (0.79–1.47) | 0.63 | 0.85 (0.59–1.24) | 0.40 |
| Impaired Sensorium | 1.09 (0.47–2.55) | 0.84 | 1.50 (0.63–3.57) | 0.35 | 3.27 (1.26–8.44) | 0.02 |
| CCI Component | ||||||
| Ascites/Esophageal varices | 1.00 (0.71–1.42) | 1.00 | 1.17 (0.81–1.69) | 0.42 | 1.86 (1.25–2.78) | 0.002 |
| ESRD | 1.30 (0.40–4.25) | 0.66 | 0.57 (0.13–2.60) | 0.47 | 0.39 (0.07–2.15) | 0.27 |
| Paraplegia | 0.38 (0.07–2.11) | 0.27 | 0.79 (0.16–3.84) | 0.77 | 1.94 (0.38–9.81) | 0.42 |
| mFI and CCI Component | ||||||
| Diabetes | 0.67 (0.45–1.01) | 0.05 | 0.91 (0.59–1.39) | 0.65 | 1.29 (0.81–2.06) | 0.28 |
| COPD | 0.41 (0.22–0.76) | 0.005 | 1.46 (0.87–2.46) | 0.15 | 1.07 (0.57–2.00) | 0.84 |
| CHF | 1.15 (0.34–3.92) | 0.82 | 3.13 (1.05–9.33) | 0.04 | 5.33 (1.59–17.88) | 0.007 |
| MI 6 months prior to surgery | 3.45 (0.50–23.71) | 0.21 | 0.58 (0.05–6.16) | 0.65 | 6.18 (0.73–52.64) | 0.10 |
| History of PVD or Rest Pain | 0.82 (0.28–2.45) | 0.73 | 0.91 (0.28–2.93) | 0.87 | 2.22 (0.74–6.70) | 0.16 |
| History of TIA | 0.87 (0.34–2.24) | 0.77 | 0.57 (0.18–1.79) | 0.34 | 2.64 (1.03–6.78) | 0.04 |
| History of CVA without deficits | 1.46 (0.64–3.34) | 0.37 | 1.16 (0.46–2.97) | 0.75 | 2.59 (1.02–6.58) | 0.046 |
| History of CVA with deficits | 1.00 (0.38–2.61) | 0.99 | 1.47 (0.56–3.86) | 0.43 | 1.72 (0.62–4.79) | 0.30 |
PCI percutaneous cardiac intervention; PCS previous cardiac surgery; TIA transient ischemic attack; CVA cerebrovascular accident; ESRD end stage renal disease; CVD cerebrovascular disease; COPD chronic obstructive pulmonary disease; CHF congestive heart failure; MI myocardial infarction; PVD peripheral vascular disease.
*
Model also consists of following: age, BMI, albumin, hematocrit, preoperative sepsis, and emergency operation.