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. 2019 Jul 27;9(7):e029235. doi: 10.1136/bmjopen-2019-029235

Table 3.

Outcomes by nutritional state

Low risk (n=1213) Moderate risk (n=738) Severe risk (n=118) P value
In-hospital mortality
 No 1164 (96.0) 668 (90.5) 98 (83.1) <0.001
 Yes 46 (3.8) 69 (9.3) 19 (16.1)
 Missing 3 (0.2) 1 (0.1) 1 (0.8)
Time with no enteral intake
 <5 days 705 (58.1) 379 (51.4) 45 (38.1) <0.001
 >5 days 439 (36.2) 308 (41.7) 60 (50.8)
 Missing 69 (5.7) 51 (6.9) 13 (11.0)
Time to resumption of enteral intake
 Mean (SD) 7.2 (14.5) 7.8 (9.9) 8 (7.4) <0.001
Urinary tract infection
 No 1150 (94.8) 691 (93.6) 108 (91.5) 0.181
 Yes—not urinary catheter associated 40 (3.3) 29 (3.9) 4 (3.4)
 Yes—urinary catheter associated 20 (1.6) 14 (1.9) 6 (5.1)
 Missing 3 (0.2) 4 (0.5) 0 (0.0)
Lower respiratory tract infection
 No 1095 (90.3) 625 (84.7) 94 (79.7) <0.001
 Yes 115 (9.5) 112 (15.2) 24 (20.3)
 Missing 3 (0.2) 1 (0.1) 0 (0.0)
Deep surgical site infection
 No 1174 (96.8) 710 (96.2) 111 (94.1) 0.508
 Yes 37 (3.1) 26 (3.5) 7 (5.9)
 Missing 2 (0.2) 2 (0.3) 0 (0.0)
Superficial surgical site infection
 No 1138 (93.8) 690 (93.5) 107 (90.7) 0.645
 Yes 73 (6.0) 46 (6.2) 11 (9.3)
 Missing 2 (0.2) 2 (0.3) 0 (0.0)
Abdominal wall dehiscence
 No 1190 (98.1) 723 (98.0) 114 (96.6) 0.577
 Yes 18 (1.5) 12 (1.6) 4 (3.4)
 Missing 5 (0.4) 3 (0.4) 0 (0.0)
Anastomotic leak
 No 1204 (99.3) 726 (98.4) 116 (98.3) 0.330
 Yes 7 (0.6) 9 (1.2) 2 (1.7)
 Missing 2 (0.2) 3 (0.4) 0 (0.0)
Radiologically guided drainage
 No 1196 (98.6) 725 (98.2) 111 (94.1) 0.002
 Yes 14 (1.2) 10 (1.4) 7 (5.9)
 Missing 3 (0.2) 3 (0.4) 0 (0.0)
Venous thromboembolism (PE or DVT)
 No 1200 (98.9) 724 (98.1) 113 (95.8) 0.016
 Yes 9 (0.7) 11 (1.5) 5 (4.2)
 Missing 4 (0.3) 3 (0.4) 0 (0.0)
Delirium
 No 1172 (96.6) 690 (93.5) 102 (86.4) <0.001
 Yes 38 (3.1) 46 (6.2) 16 (13.6)
 Missing 3 (0.2) 2 (0.3) 0 (0.0)
Cardiovascular event (MI, new heart block, stroke, TIA)
 No 1146 (94.5) 679 (92.0) 108 (91.5) 0.168
 Yes 64 (5.3) 55 (7.5) 10 (8.5)
 Missing 3 (0.2) 4 (0.5) 0 (0.0)
Reoperation
 No 582 (48.0) 380 (51.5) 52 (44.1) 0.027
 Yes 25 (2.1) 27 (3.7) 6 (5.1)
 Missing 606 (50.0) 331 (44.9) 60 (50.8)
Unplanned HDU/ICU admission
 No 1111 (91.6) 644 (87.3) 94 (79.7) <0.001
 Yes— intensive care unit 50 (4.1) 53 (7.2) 17 (14.4)
 Yes—high dependency care 44 (3.6) 36 (4.9) 7 (5.9)
 Missing 8 (0.7) 5 (0.7) 0 (0.0)
Readmission within 30 days
 No 1029 (84.8) 599 (81.2) 90 (76.3) 0.010
 Yes 164 (13.5) 112 (15.2) 23 (19.5)
 Missing 20 (1.6) 27 (3.7) 5 (4.2)
Length of stay (days)
 Mean (SD) 10 (12.4) 13.3 (13.6) 17.8 (14.4) <0.001

Stratified by Nutritional Risk Index categories across columns.

Values are N (%) unless otherwise specified. Tests are Χ2, unless otherwise indicated by asterisk (*), where they are Kruskal-Wallis.

DVT, deep vein thrombosis; HDU, high dependency unit (level 2); ICU, intensive care unit/intensive therapy unit (level 2/3); MI, myocardial infarction; PE, pulmonary embolism; TIA, transient ischaemic attack.