Table 5.
Factors associated with postoperative mortality in patients with breast cancer after propensity score matching
| Variables | Univariate | Multivariate | ||||||
|---|---|---|---|---|---|---|---|---|
| HR | 95% CI | P-value | HR | 95% CI | P-value | |||
| Dexamethasone | ||||||||
| No | 1 (ref) | 1 (ref) | ||||||
| Yes | 1.223 | 0.733 | 2.041 | 0.442 | 1.506 | 0.886 | 2.561 | 0.130 |
| Age | 1.005 | 0.983 | 1.028 | 0.636 | ||||
| Age (years) | ||||||||
| < 40 | 1 (ref) | 1 (ref) | ||||||
| 40–49 | 0.607 | 0.331 | 1.113 | 0.107 | 0.979 | 0.517 | 1.855 | 0.949 |
| 50–59 | 0.763 | 0.416 | 1.400 | 0.382 | 0.778 | 0.411 | 1.473 | 0.440 |
| 60–69 | 1.165 | 0.574 | 2.364 | 0.673 | 0.962 | 0.419 | 2.208 | 0.927 |
| ≥70 | 1.087 | 0.318 | 3.714 | 0.894 | 0.866 | 0.226 | 3.323 | 0.834 |
| BMI | 0.991 | 0.925 | 1.063 | 0.810 | ||||
| BMI (kg m−2) | ||||||||
| < 18.4 | 0.852 | 0.542 | 3.358 | 0.520 | 0.759 | 0.179 | 3.216 | 0.709 |
| 18.4–22.9 | 1 (ref) | 1 (ref) | ||||||
| 23–24.9 | 1.449 | 0.765 | 1.757 | 0.485 | 1.647 | 0.994 | 2.730 | 0.053 |
| 25–29.9 | 1.012 | 0.597 | 1.417 | 0.703 | 1.008 | 0.584 | 1.740 | 0.976 |
| ≥30 | ||||||||
| HTN | ||||||||
| No | 1 (ref) | |||||||
| Yes | 1.692 | 1.052 | 2.723 | 0.030 | ||||
| DM | ||||||||
| No | 1 (ref) | |||||||
| Yes | 1.775 | 0.858 | 3.672 | 0.122 | ||||
| Anaesthetic agents | ||||||||
| TIVA | 1 (ref) | 1 (ref) | ||||||
| Volatile | 1.050 | 0.258 | 4.272 | 0.946 | 1.400 | 0.332 | 5.892 | 0.647 |
| N2O | ||||||||
| No | 1 (ref) | |||||||
| Yes | 1.523 | 0.840 | 2.763 | 0.166 | ||||
| Transfusion | ||||||||
| No | 1 (ref) | 1 (ref) | ||||||
| Yes | 6.113 | 1.503 | 24.857 | 0.011 | 3.063 | 0.6900 | 13.600 | 0.141 |
| Premedicationa | ||||||||
| No | 1 (ref) | |||||||
| Yes | 0.796 | 0.515 | 1.231 | 0.305 | ||||
| Surgical procedure | ||||||||
| BCS | 1 (ref) | 1 (ref) | ||||||
| Mastectomy | 2.699 | 1.652 | 4.408 | < 0.001 | 2.289 | 1.367 | 3.833 | 0.002 |
| TNM staging | ||||||||
| 1 | 1 (ref) | 1 (ref) | ||||||
| 2 | 2.403 | 1.293 | 4.466 | 0.006 | 1.553 | 0.774 | 3.117 | 0.216 |
| 3 | 8.587 | 4.770 | 15.458 | < 0.001 | 5.509 | 2.732 | 11.106 | < 0.001 |
| Oestrogen receptor | ||||||||
| No | 1 (ref) | 1 (ref) | ||||||
| Yes | 0.338 | 0.222 | 0.514 | < 0.001 | 0.699 | 0.374 | 1.305 | 0.261 |
| Progesterone receptor | ||||||||
| No | 1 (ref) | 1 (ref) | ||||||
| Yes | 0.280 | 0.180 | 0.435 | < 0.001 | 0.428 | 0.228 | 0.803 | 0.008 |
| Chemotherapy | ||||||||
| No | 1 (ref) | 1 (ref) | ||||||
| Yes | 4.667 | 2.156 | 10.103 | < 0.001 | 1.381 | 0.549 | 3.474 | 0.493 |
| Radiotherapy | ||||||||
| No | 1 (ref) | |||||||
| Yes | 1.473 | 0.926 | 2.343 | 0.102 | ||||
CI confidence interval, HR hazard ratio, BMI body mass index, HTN hypertension, DM diabetes mellitus, TIVA total intravenous anaesthesia, N2O nitrous oxide, BCS breast conserving surgery, TNM tumour-node-metastasis
In 1 to 5 propensity matching process, the basic characteristics of 1224 subjects in the control group were considered to be different from the dexamethasone group and excluded from the final matching analyses. Consequently, 234 patients who received dexamethasone and 1170 patients who did not receive dexamethasone were included
aPremedication: Midazolam 0.03 mg kg−1 was administered