Table 1.
Postoperative complications | ||||
---|---|---|---|---|
Total | Yes | No | P value | |
Number | 313 | 49 | 264 | |
Age, years | ||||
65–74 years | 95 | 9 | 86 | |
75–89 years | 171 | 26 | 145 | 0.011 |
≥ 90 years | 47 | 14 | 33 | |
Gender, female | 221 | 29 | 192 | 0.062 |
BMI, kg/m2 | ||||
18.5–24.9 kg/m2 | 206 | 33 | 173 | |
< 18.5 kg/m2 | 39 | 12 | 27 | 0.004 |
> 25.0 kg/m2 | 67 | 4 | 63 | |
Comorbidities | ||||
Anemia | 37 | 10 | 27 | 0.054 |
Hypertension | 163 | 23 | 140 | 0.44 |
Dyslipidemia | 88 | 9 | 79 | 0.12 |
Diabetes mellitus | 48 | 7 | 41 | 1 |
ASA class ≥ 3 | 104 | 27 | 77 | < 0.001 |
Glucocorticoids use | 10 | 2 | 8 | 0.66 |
Organ impairment | ||||
COPD requiring medication | 1 | 0 | 1 | 1 |
History of HF or IHD | 25 | 8 | 17 | 0.038 |
Liver failure | 7 | 1 | 6 | 1 |
ESRD | 9 | 1 | 8 | 1 |
Operative indication | ||||
Upper limb fracture | 73 | 2 | 71 | 0.002 |
Lower limb fracture | 137 | 31 | 106 | |
Spinal/pelvic fracture | 8 | 1 | 7 | |
Osteoarthritis | 28 | 3 | 25 | |
Spinal surgery | 28 | 6 | 22 | |
Others | 39 | 6 | 33 | |
Surgical procedure | ||||
Operative time ≥ 2 h | 58 | 9 | 49 | 1 |
Bleeding volume ≥ 500 mL | 13 | 3 | 10 | 0.44 |
Emergency | 20 | 3 | 17 | 1 |
Anesthetic procedure | ||||
Spinal | 15 | 3 | 12 | 0.71 |
General | 298 | 46 | 252 | |
Postoperative analgesia | ||||
Parenteral analgesics as needed | 103 | 20 | 83 | 0.17 |
Peripheral nerve blocks | 151 | 18 | 133 | |
PCA | 47 | 11 | 36 | |
PCA combined with nerve blocks | 5 | 0 | 5 | |
Epidural analgesia | 7 | 0 | 7 | |
Perioperative blood transfusion | 68 | 19 | 49 | 0.004 |
Statistical comparisons were performed using the Fisher’s exact test. ASA American Society of Anesthesiologists, COPD chronic obstructive pulmonary disease, DM diabetes mellitus, eGFR estimated glomerular filtration rate, ESRD end-stage renal disease, HF heart failure, HTN hypertension, IHD ischemic heart disease, PCA patient-controlled analgesia