Table 4.
Multivariable logistic regression analysis of risk factors for anastomotic leak and their associated point values
Variable | Odds Ratio (95% CI) | Points Assigned |
---|---|---|
Age, years | ||
18–39 | 1.6 (1.2–2.1) | 5 |
40–49 | 1.3 (1.0–1.6) | 3 |
50–59 | 1.2 (1.0–1.4) | 2 |
60–69 | 1.2 (1.0–1.4) | 1 |
70–79 | Reference | 0 |
80+ | 1.1 (0.9–1.4) | 1 |
Sex | ||
Female | Reference | 0 |
Male | 1.4 (1.2–1.5) | 3 |
Tobacco use | ||
No | Reference | 0 |
Yes | 1.5 (1.3–1.8) | 4 |
Hematocrit < 30% | ||
No | Reference | 0 |
Yes | 1.3 (1.0–1.7) | 3 |
Missing | 1.1 (0.9–1.5) | 1 |
Diagnostic indication | ||
Cancer | Reference | 0 |
Benign neoplasm | 0.9 (0.7–1.1) | −1 |
Diverticular disease | 0.8 (0.7–1.0) | −2 |
Neoadjuvant chemotherapy with last dose within 90 days | ||
No | Reference | 0 |
Yes | 1.6 (1.2–2.0) | 4 |
Bowel Prep | ||
Combined | Reference | 0 |
No prep | 2.3 (2.0–2.7) | 8 |
Mechanical only | 1.6 (1.4–1.9) | 5 |
Oral antibiotic only | 1.3 (1.0–1.8) | 3 |
Missing | 1.5 (1.2–1.8) | 4 |
ASA class | ||
I/II | Reference | 0 |
III | 1.4 (1.2–1.6) | 3 |
IV | 1.4 (1.0–2.0) | 4 |
Approach with anastomosis location | ||
Laparoscopic with colocolostomy | Reference | 0 |
Robotic with colocolostomy | 0.5 (0.3–0.7) | −8 |
Laparoscopic with coloproctostomy | 1.0 (0.8–1.1) | −1 |
Open with coloproctostomy | 1.0 (0.8–1.2) | 0 |
Robotic with coloproctostomy | 1.1 (0.9–1.5) | 1 |
Open with colocolostomy | 1.5 (1.3–1.8) | 4 |
Operative time, minutes | ||
≤ 122 | Reference | 0 |
123–168 | 1.1 (0.9–1.3) | 1 |
169–225 | 1.3 (1.1–1.5) | 3 |
≥ 226 | 1.6 (1.3–1.9) | 4 |
Wound class | ||
I/II | Reference | 0 |
III/IV | 1.5 (1.3–1.7) | 4 |