Table 3. Adjusted odds ratios between frailty and postoperative cardiopulmonary complications and mortality in emergency general surgery.
Respiratory complications | ||||||
---|---|---|---|---|---|---|
Unplanned reintubation a | Pneumonia b | Prolonged ventilation c | ||||
mFI | OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value |
0 | Ref | Ref | Ref | |||
1 | 1.826 (1.611–2.070) | <0.0001 | 1.669 (1.494–1.864) | <0.0001 | 1.667 (1.519–1.829) | <0.0001 |
2 | 2.387 (2.099–2.716) | <0.0001 | 2.074 (1.849–2.327) | <0.0001 | 2.059 (1.872–2.264) | <0.0001 |
3 | 2.877 (2.505–3.305) | <0.0001 | 2.190 (1.930–2.484) | <0.0001 | 2.386 (2.154–2.644) | <0.0001 |
4+ | 2.934 (2.534–3.398) | <0.0001 | 2.163 (1.892–2.472) | <0.0001 | 2.511 (2.255–2.796) | <0.0001 |
Cardiac complications | ||||||
Cardiac arrest d | Myocardial infarction e | |||||
mFI | OR (95% CI) | p Value | OR (95% CI) | p Value | ||
0 | Ref | Ref | ||||
1 | 1.815 (1.396–2.360) | <0.0001 | 9.862 (7.051–13.792) | <0.0001 | ||
2 | 2.378 (1.828–3.094) | <0.0001 | 21.517 (15.463–29.942) | <0.0001 | ||
3 | 2.861 (2.179–3.757) | <0.0001 | 32.805 (23.316–46.156) | <0.0001 | ||
4+ | 3.359 (2.552–4.422) | <0.0001 | 41.794 (29.554–59.104) | <0.0001 | ||
Mortality f | ||||||
mFI | OR (95% CI) | p Value | ||||
0 | Ref | |||||
1 | 1.949 (1.719–2.209) | <0.0001 | ||||
2 | 2.885 (2.547–3.276) | <0.0001 | ||||
3 | 3.504 (3.077–3.991) | <0.0001 | ||||
4+ | 4.459 (3.904–5.092) | <0.0001 |
Abbreviations: ASA, American Society of Anesthesiologists; CI, confidence interval; mFI, modified frailty index; OR, odds ratio; Ref, reference category.
Adjusted for ASA class, gender, operation time, sepsis, smoker status, ventilator dependence, wound infection.
Adjusted for ASA class, dyspnea, gender, operation time, sepsis, smoker status, ventilator dependence, wound class, wound infection.
Adjusted for ASA class, dyspnea, operation time, renal failure, sepsis, smoker status, ventilator dependence, wound class, wound infection.
Adjusted for ASA class, dyspnea, gender, operation time, renal failure, sepsis, ventilator dependence.
Adjusted for renal failure, sepsis, wound infection.
Adjusted for ASA class, disseminated cancer, dyspnea, gender, renal failure, sepsis, smoker status, ventilator dependence, wound infection.