From: Nomogram for prediction of prolonged postoperative ileus after colorectal resection
PPOI, No | P value | Multivariate Analysis | |||
---|---|---|---|---|---|
Absence (n = 128) | Presence (n = 1126) | OR(95% CI) | P value | ||
Gender | 0.003 | 1.933(1.219–3.064) | 0.005 | ||
Male | 103(80.5%) | 761(67.6%) | |||
Female | 25(19.5%) | 365(32.4%) | |||
Age(years) | 0.001 | 1.823(1.240–2.679) | 0.002 | ||
≤ 65 | 46(35.9%) | 579(51.4%) | |||
> 65 | 82(64.1%) | 547(48.6%) | |||
BMI (kg/m2, mean ± SD) | 23.7 ± 2.4 | 23.3 ± 2.3 | 0.133 | ||
Smoking habit | 0.184 | ||||
Yes | 38(29.7%) | 274(24.3%) | |||
No | 90(70.3%) | 852(75.7%) | |||
Alcohol use | 0.282 | ||||
Yes | 60(46.9%) | 472(41.9%) | |||
No | 68(53.1%) | 654(58.1%) | |||
Diabetes Mellitus | 0.102 | ||||
Yes | 37(28.9%) | 253(22.5%) | |||
No | 91(71.1%) | 873(77.5%) | |||
Hypertension | 0.224 | ||||
Yes | 42(32.8%) | 312(27.7%) | |||
No | 86(67.2%) | 814(72.3%) | |||
Hyperlipidemia | 0.428 | ||||
Yes | 45(35.2%) | 357(31.7%) | |||
No | 83(64.8%) | 769(68.3%) | |||
Respiratory comorbidity | 0.529 | ||||
Yes | 28(21.9%) | 220(19.5%) | |||
No | 100(78.1%) | 906(80.5%) | |||
Cardiac comorbidity | 0.151 | ||||
Yes | 31(24.2%) | 213(18.9%) | |||
No | 97(75.8%) | 913(81.1%) | |||
Peripheral vascular disease | 0.348 | ||||
Yes | 23(18.0%) | 167(14.8%) | |||
No | 105(82.0%) | 959(85.2%) | |||
Previous abdominal surgery | 0.176 | ||||
Yes | 23(18.0%) | 153(13.6%) | |||
No | 105(82.0%) | 973(86.4%) | |||
Preoperative anemia | 0.291 | ||||
Yes | 48(37.5%) | 370(32.9%) | |||
No | 80(62.5%) | 756(67.1%) | |||
Preoperative hypoalbuminemia | 0.361 | ||||
Yes | 24(18.8%) | 176(15.6%) | |||
No | 104(81.2%) | 950(84.4%) | |||
Preoperative WBC count( ×103/μL, mean ± SD) | 7.0 ± 1.4 | 6.8 ± 1.7 | 0.207 | ||
Neoadjuvant treatment | 0.210 | ||||
Yes | 30(23.4%) | 212(18.8%) | |||
No | 98(76.6%) | 914(81.2%) | |||
ASA-classification | 0.376 | ||||
ASA I | 72(56.3%) | 704(62.5%) | |||
ASA II | 39(30.5%) | 299(26.6%) | |||
ASA III, IV | 17(13.3%) | 123(10.9%) | |||
Surgical approach | 0.000 | 2.436(1.519–3.907) | 0.000 | ||
Minimally invasive surgery | 100(78.1%) | 1015(90.1%) | |||
Open/conversion | 28(21.9%) | 111(9.9%) | |||
Surgical procedure | 0.099 | ||||
Right colectomy | 38(29.7%) | 294(26.1%) | |||
Transverse colectomy | 8(6.3%) | 70(6.2%) | |||
Left colectomy | 22(17.2%) | 308(27.4%) | |||
Rectal resectiona | 60(46.9%) | 454(40.3%) | |||
Diverting ileostomy | 0.432 | ||||
Yes | 21(16.4%) | 156(13.9%) | |||
No | 107(83.6%) | 970(86.1%) | |||
Operation duration(min) | 0.047 | 1.415(0.963–2.078) | 0.077 | ||
≤ 180 | 48(37.5%) | 526(46.7%) | |||
> 180 | 80(62.5%) | 600(53.3%) | |||
Intraoperative Blood loss (mL), (median [IQR]) | 200(100,250) | 180(90,230) | 0.063 | ||
Bowel resection length (cm), (median [IQR]) | 20(18,22) | 19(17,21) | 0.366 | ||
Anastomosis technique | 0.446 | ||||
Side-to-end | 29(22.7%) | 290(25.8%) | |||
End-to-end | 99(77.3%) | 836(74.2%) | |||
Anastomosis approach | 0.078 | ||||
Intracorporeal anastomosis | 25(19.5%) | 301(26.7%) | |||
extracorporeal anastomosis | 103(80.5%) | 825(73.3%) | |||
Intraoperative fluid overload | 0.001 | 1.844(1.264–2.690) | 0.001 | ||
Yes | 75 | 485 | |||
No | 53 | 641 | |||
Perioperative transfusion | 0.381 | ||||
Yes | 14(10.9%) | 97(8.6%) | |||
No | 114(89.1%) | 1029(91.4%) | |||
Differentiation | 0.820 | ||||
Well | 7(5.5%) | 58(5.2%) | |||
Moderate | 109(85.2%) | 942(83.7%) | |||
Poor | 12(9.4%) | 126(11.2%) | |||
Specimen extraction approaches | 0.071 | ||||
Natural orifice specimen extraction | 6(4.7%) | 107(9.5%) | |||
Conventional extraction | 122(95.3%) | 1019(90.5%) | |||
TNM stage | 0.649 | ||||
I | 18(14.1%) | 195(17.3%) | |||
II | 67(52.3%) | 568(50.4%) | |||
III | 43(33.6%) | 363(32.2%) |