Table 4.
Risk factors for early (within 90 days) postoperative respiratory complications (n=64, 27.1%)
Variable | Univariate | Multivariate | ||
---|---|---|---|---|
OR (95% CI) | p-value | OR (95% CI) | p-value | |
Age | 1.011 (0.983–1.039) | 0.451 | ||
Sex (ref: female) | 2.593 (1.440–4.668) | 0.001 | 2.166 (1.150–4.077) | 0.017 |
Body mass index | 0.950 (0.867–1.041) | 0.272 | ||
PVI group (ref: normal-to-high PVI) | 2.119 (1.130–3.975) | 0.019 | ||
Pulmonary function tests | ||||
FVC (L) | 1.365 (0.981–1.900) | 0.065 | ||
FVC (%) | 0.996 (0.975–1.017) | 0.713 | ||
FEV1 (L) | 1.185 (0.755–1.859) | 0.461 | ||
FEV1 (%) | 0.991 (0.972–1.009) | 0.319 | ||
DLCO (L) | 0.974 (0.915–1.038) | 0.421 | ||
DLCO (%) | 0.970 (0.952–0.989) | 0.002 | 0.974 (0.955–0.993) | 0.008 |
Comorbidities (ref: no disease) | ||||
Hypertension | 1.006 (0.564–1.794) | 0.984 | ||
Diabetes mellitus | 2.013 (0.953–4.254) | 0.067 | ||
Chronic obstructive pulmonary disease | 3.796 (1.426–10.107) | 0.008 | ||
History of tuberculosis | 1.747 (0.688–4.437) | 0.241 | ||
Blood laboratories | ||||
Hemoglobin | 0.825 (0.670–1.016) | 0.071 | ||
C-reactive protein | 1.085 (0.837–1.407) | 0.539 | ||
Albumin | 0.529 (0.221–1.267) | 0.153 | ||
Carcinoembryonic antigen | 0.990 (0.937–1.046) | 0.721 | ||
Neutrophil-lymphocyte ratio | 1.092 (0.944–1.263) | 0.235 | ||
Geriatric Nutritional Risk Index | 0.968 (0.934–1.003) | 0.073 | ||
Smoking history (ref: no history) | 2.545 (1.413–4.582) | 0.002 | ||
Smoking (pack-years) | 1.014 (0.999–1.029) | 0.063 | ||
Approach (ref: video-assisted thoracoscopic surgery) | 1.817 (0.297–11.134) | 0.518 | ||
Extent of resection (ref: sublobar) | 1.135 (0.482–2.675) | 0.772 | ||
Intraoperation | ||||
Anesthesia time | 1.010 (1.004–1.016) | 0.001 | ||
Operation time | 1.010 (1.004–1.016) | 0.001 | 1.008 (1.001–1.015) | 0.018 |
Blood loss | 1.001 (0.999–1.002) | 0.235 |
OR, odds ratio; CI, confidence interval; ref, reference; PVI, psoas volume index; FVC, forced vital capacity; FEV1, forced expiratory volume in 1 second; DLCO, diffusing capacity of carbon monoxide.