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Table 5  Factors associated with postoperative complicationsa after major resections with curative intent (R0 and R1); n = 1021b

From: Octogenarian patients with colon cancer – postoperative morbidity and mortality are the major challenges

Factors

Unadjusted odds ratio

(95% CI)

P value

Adjusted odds ratio

(95% CI)

P value

Age (years)

   < 65

1 (reference)

 

1 (reference)

 

  65—74

1.51 (1.08 to 2.11)

0.016

1.35 (0.94 to 1.96)

0.11

  75 – 79

2.13 (1.47 to 3.08)

 < 0.001

1.51 (0.99 to 2.28)

0.053

  80—84

2.83 (1.93 to 4.17)

 < 0.001

1.96 (1.27 to 3.03)

0.002

  85 – 89

2.96 (1.73 to 5.03)

 < 0.001

2.14 (1.18 to 3.87) 

0.013

  ≥ 90

7.60 (3.11 to 18.58)

 < 0.001

5.36 (2.11 to 13.61)

 < 0.001

Female sex

0.99 (0.78 to 1.25)

0.95

1.15 (0.89 to 1.49)

0.28

Calendar year

  1980–1989

1 (reference)

 

1 (reference)

 

  1990–1999

0.46 (0.32 to 0.67)

 < 0.001

0.44 (0.30 to 0.66)

 < 0.001

  2000–2009

0.43 (0.30 to 0.60)

 < 0.001

0.50 (0.33 to 0.94)

0.001

  2010–2016

0.47 (0.33 to 0.68)

 < 0.001

0.61 (0.40 to 0.94)

0.025

ASA score

  1–2

1 (reference)

 

1 (reference)

 

  3

2.00 (1.56 to 2.56)

 < 0.001

1.43 (1.08 to 1.90)

0.013

  4–5

19.07 (9.56 to 38.05)

 < 0.001

10.86 (5.19 to 22.73)

 < 0.001

Emergency surgery

2.51 (1.75 to 3.60)

0.001

2.30 (1.57 to 3.39)

 < 0.001

Anaemia (g/dL haemoglobin)

  Female ≥ 12.0, Male ≥ 13.0

1 (reference)

 

1 (reference)

 

  Female 10–11.9, Male 11–12.9

1.97 (1.47 to 2.64)

 < 0.001

2.26 (1.64 to 3.11)

 < 0.001

  Female < 10, Male < 11

4.76 (3.53 to 6.43)

 < 0.001

5.61 (4.01 to 7.84)

 < 0.001

Surgery duration (minutes)

  < 90

1 (reference)

 

1 (reference)

 

  90–179

1.01 (0.73 to 1.38)

0.96

0.96 (0.67 to 1.39)

0.84

  ≥ 180

2.24 (1.48 to 3.38)

0.001

1.52 (0.89 to 2.58)

0.13

Blood loss (mL)

  0–200

1 (reference)

 

1 (reference)

 

  201–400

1.21 (0.88 to 1.65)

0.24

1.48 (1.04 to 3.11)

0.029

  401–800

1.67 (1.20 to 2.32)

0.002

2.16 (1.45 to 3.21)

 < 0.001

  > 800

3.69 (2.41 to 5.65)

 < 0.001

4.13 (2.44 to 7.01)

 < 0.001

  1. aComplications were classified according to Clavien-Dindo grades; bPatients included those with stages I-III colon cancer during 1980–2016