Table 3.
Distribution of Preoperative Acute Serious Conditions (PASC) and Clavien-Dindo IV (CDIV) Complications
| Total | Male | Female | P value | |
|---|---|---|---|---|
| PASC a | 3,492 | 1,970 | 1,522 | |
| Deep incision surgical site infection (DSSIPATOS), No. (%) | 128 (3.7) | 71 (3.6) | 57 (3.7) | .90 |
| Organ/space surgical site infection (OSSIPATOS), No. (%) | 447 (12.8) | 254 (12.9) | 193 (12.7) | .89 |
| Pneumonia (PNAPATOS), No. (%) | 298 (8.5) | 178 (9.0) | 120 (7.9) | .25 |
| On ventilator >48hrs (VENTPATOS), No. (%) | 406 (11.6) | 216 (11.0) | 190 (12.5) | .18 |
| Sepsis (SEPSISPATOS), No. (%) | 1551 (44.4) | 876 (44.5) | 675 (44.3) | .97 |
| Septic shock (SEPSHOCKPATOS), No. (%) | 849 (24.3) | 453 (23.0) | 396 (26.0) | .04 |
| Acute renal failure not requiring dialysisb, No. (%) | 334 (9.6) | 213 (10.8) | 121 (8.0) | .005 |
| Acute renal failure requiring dialysisc, No. (%) | 247 (7.1) | 156 (7.9) | 91 (6.0) | .03 |
| Composite Distribution of PASC | .59 | |||
| Patients with 1 PASC, No. (%) | 2,857 (81.8) | 1,603 (81.4) | 1,254 (82.4) | |
| Patients with 2 PASC, No. (%) | 524 (15.0) | 302 (15.3) | 222 (14.6) | |
| Patients with 3 PASC, No. (%) | 91 (2.6) | 51 (2.6) | 40 (2.6) | |
| Patients with 4–5 PASC, No. (%) | 20 (0.6) | 14 (0.7) | 6 (0.4) | |
| Urgent/Emergent case status | 3069 (87.9) | 1729 (87.8) | 1340 (88.0) | .85 |
| CDIV complications | 2689 | 1497 | 1192 | |
| Reintubation (REINTUB), No. (%) | 1,014 (37.7) | 583 (38.9) | 431 (36.2) | .15 |
| Pulmonary embolism (PULEMBOL), No. (%) | 348 (12.9) | 192 (12.8) | 156 (13.1) | .89 |
| Failure to wean (ventilator >48hrs) (FAILWEAN), No. (%) | 1,120 (41.7) | 622 (41.5) | 498 (41.8) | .94 |
| Acute renal failure (require dialysis) (OPRENAFL), No. (%) | 355 (13.2) | 222 (14.8) | 133 (11.2) | .006 |
| Cerebral vascular event/stroke (CNSCVA), No. (%) | 210 (7.8) | 103 (6.9) | 107 (9.0) | .052 |
| Cardiac arrest (CDARREST), No. (%) | 343 (12.8) | 208 (13.9) | 135 (11.3) | .054 |
| Myocardial infarction (CDMI), No. (%) | 324 (12.0) | 196 (13.1) | 128 (10.7) | .07 |
| Septic shock (OTHSESHOCK), No. (%) | 450 (16.7) | 256 (17.1) | 194 (16.3) | .61 |
| Composite Distribution of CDIV complications | .03 | |||
| Patients with 1 CDIV | 1,700 (63.2) | 915 (61.1) | 785 (65.9) | |
| Patients with 2 CDIV | 629 (23.4) | 359 (24.0) | 270 (22.7) | |
| Patients with 3 CDIV | 265 (9.9) | 163 (10.9) | 102 (8.6) | |
| Patients with ≥4 CDIV | 95 (3.5) | 60 (4.0) | 35 (2.9) | |
| Urgent/Emergent case status | 1739 (64.7) | 990 (66.1) | 749 (62.8) | .08 |
| Patients with PASC and CDIV | 848 | 475 | 373 | |
| Urgent/Emergent case status, No. (%) | 802 (94.6) | 448 (94.3) | 354 (94.9) | .82 |
Abbreviations: NSQIP, National Surgical Quality Improvement Program, NSQIP variable names included in parentheses
Pearson’s Chi-square test was used to calculate P values.
a
144 patients with only preoperative urinary tract infection or superficial surgical site infection were not included in PASC.
b
defined as a positive response to RENAFAIL and negative response to DIALYSIS NSQIP variables
c
defined as a positive response to both RENAFAIL and DIALYSIS NSQIP variables