Table 3 Table showing results of univariate and multivariate logistic regression of the factors that influence 30-day mortality in the elderly.
N | Unadjusted OR (95% CI) | P value | Adjusted OR (95% CI) | P value | ||
|---|---|---|---|---|---|---|
Patient characteristics | ||||||
Age | 65 to 69 years | 9201 | REF | REF | ||
70–75 years | 7938 | 1.81 (1.30–2.50) | <0.001 | 1.25 (0.78–2.00) | 0.348 | |
>=76 years | 7440 | 4.10 (3.07–5.49) | <0.001 | 2.41 (1.61–3.63) | <0.001 | |
Gender | Male | 11671 | REF | REF | ||
Female | 12908 | 0.67 (0.54–0.82) | <0.001 | 0.94 (0.69–1.27) | 0.67 | |
Race | Chinese | 20965 | REF | REF | ||
Malay | 1272 | 2.42 (1.73–3.41) | <0.001 | 1.88 (1.17–3.02) | 0.01 | |
Indian | 1121 | 1.25 (0.77–2.02) | 0.36 | 1.26 (0.66–2.43) | 0.48 | |
Others | 1221 | 1.34 (0.86–2.10) | 0.20 | 0.99 (0.45–2.20) | 0.98 | |
Operation details | ||||||
Priority of Operation | Elective | 20032 | REF | REF | ||
Emergency | 4547 | 9.61 (7.66–12.05) | <0.001 | 2.99 (2.15–4.14) | <0.001 | |
Surgical Risk | Low | 9728 | REF | REF | ||
Moderate | 13305 | 1.49 (1.17–1.91) | 0.001 | 1.87 (1.28–2.71) | 0.001 | |
High | 1546 | 3.84 (2.76–5.35) | <0.001 | 1.38 (0.81–2.37) | 0.24 | |
Type of Anaesthesia | GA | 17355 | REF | REF | ||
RA | 7224 | 0.68 (0.53–0.88) | 0.003 | 0.72 (0.50–1.04) | 0.08 | |
Repeat Operations within 30 days | 1496 | 3.59 (2.72–4.73) | <0.001 | 2.29 (1.51–3.45) | <0.001 | |
Perioperative Packed Red Blood Cell Transfusion | 0 unit | 22294 | REF | REF | ||
1 unit | 1812 | 5.74 (4.46–7.37) | <0.001 | 1.72 (1.15–2.58) | 0.009 | |
2 or more units | 473 | 12.67 (9.17–17.52) | <0.001 | 2.50 (1.51–4.14) | <0.001 | |
Patient characteristics | ||||||
ASA-PS | 1&2 | 16155 | REF | REF | ||
3 | 6974 | 8.69 (6.19–12.18) | <0.001 | 2.79 (1.76–4.43) | <0.001 | |
4&5 | 532 | 82.50 (56.87–119.68) | <0.001 | 10.07 (5.78–17.55) | <0.001 | |
RDW | 1st quartile RDW≤12.8% | 6540 | REF | REF | ||
2nd quartile RDW>12.8% and≤13.4% | 6025 | 1.91 (1.10–3.30) | 0.02 | 1.31 (0.65–2.64) | 0.45 | |
3rd quartile RDW>13.4% and≤14.3% | 5286 | 4.63 (2.28–7.60) | <0.001 | 2.12 (1.13–3.99) | 0.02 | |
4th quartile RDW>14.3% | 5823 | 12.20 (7.70–19.32) | <0.001 | 2.85 (1.57–5.17) | 0.001 | |
Preoperative Anaemia | None | 14628 | REF | REF | ||
Mild | 5171 | 3.20 (2.30–4.47) | <0.001 | 1.44 (0.90–2.29) | 0.13 | |
Moderate/Severe | 4391 | 10.58 (8.00–14.01) | <0.001 | 1.61 (1.03–2.53) | 0.04 | |
Presence of individual components of RCRI | Ischemic heart disease | 2712 | 4.32 (3.29–5.68) | <0.001 | 1.70 (1.22–2.36) | 0.002 |
Previous Cerebrovascular accident | 1056 | 2.91 (1.99–4.23) | <0.001 | 1.19 (0.76–1.85) | 0.45 | |
Diabetes mellitus on insulin | 858 | 2.92 (1.94–4.40) | <0.001 | 0.82 (0.50–1.36) | 0.44 | |
Congestive cardiac failure | 500 | 4.58 (2.97–7.06) | <0.001 | 1.09 (0.66–1.81) | 0.73 | |
Stage of kidney disease based on eGFR (mL/min/1.73 m2) | None or 1 | 8608 | REF | REF | ||
2 | 9943 | 0.79 (0.57–1.09) | 0.15 | 0.69 (0.44–1.09) | 0.11 | |
3 | 3558 | 2.48 (1.80–3.42) | <0.001 | 1.07 (0.68–1.67) | 0.78 | |
4–5 | 1582 | 8.97 (6.68–12.03) | <0.001 | 2.00 (1.29–3.10) | 0.002 | |