Table 3 Risk factor analysis.
From: Analysis of risk factors for perioperative complications in spine surgery
Intraoperative complications | Postoperative complications | Revision surgeries | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
OR | IQR | p | sig | OR | IQR | p | sig | OR | IQR | p | sig | |
Patient characteristics | ||||||||||||
Age | 0.99 | 0.97–1.01 | 0.41 | ns | 1.01 | 1.00–1.03 | 0.07 | ns | 1.00 | 0.98 –1.02 | 0.91 | ns |
BMI | 0.99 | 0.93 –1.05 | 0.77 | ns | 1.02 | 0.98 –1.05 | 0.43 | ns | 1.07 | 1.02 –1.13 | 0.004 | ** |
ASA score | 0.80 | 0.47 –1.36 | 0.41 | ns | 0.99 | 0.70 –1.38 | 0.93 | ns | 0.94 | 0.58 –1.52 | 0.80 | ns |
KPS postoperative | 0.17 | 0.01 –4.60 | 0.29 | ns | 0.03 | 0.00 –0.81 | 0.04 | * | 0.91 | 0.02 –43.60 | 0.96 | ns |
KPS preoperative | 1.73 | 0.02 –161 | 0.81 | ns | 21.43 | 0.45 –1016 | 0.12 | ns | 0.11 | 0.00 –12.20 | 0.36 | ns |
mRS postoperative | 0.66 | 0.34 –1.27 | 0.21 | ns | 1.39 | 0.78 –2.48 | 0.26 | ns | 1.78 | 0.83 –3.83 | 0.14 | ns |
mRS preoperative | 1.90 | 0.92 –3.93 | 0.08 | ns | 0.88 | 0.48 –1.60 | 0.67 | ns | 0.61 | 0.27 –1.37 | 0.23 | ns |
Co-morbidities | ||||||||||||
Charlson Index | 0.96 | 0.73–1.27 | 0.79 | ns | 0.90 | 0.74–1.09 | 0.27 | ns | 1.09 | 0.85–1.40 | 0.51 | ns |
Charlson Index age-adjusted | 1.03 | 0.81–1.30 | 0.82 | ns | 1.17 | 0.99–1.39 | 0.01 | * | 0.98 | 0.78–1.22 | 0.83 | ns |
Diagnosis count | 0.91 | 0.75–1.09 | 0.30 | ns | 1.02 | 0.91–1.13 | 0.75 | ns | 1.10 | 0.95–1.26 | 0.20 | ns |
Depression | χ2 = 1.71 | 0.19 | ns | χ2 = 0.15 | 0.70 | ns | χ2 = 0.87 | 0.35 | ns | |||
Tumour with metastases | χ2 = 0.05 | 0.82 | ns | χ2 = 6.21 | 0.01 | * | χ2 = 4.75 | 0.03 | * | |||
Atrial fibrillation | χ2 = 0.44 | 0,51 | ns | χ2 = 5.67 | 0.02 | * | χ2 = 2.14 | 0.14 | ns | |||
Laboratory results | ||||||||||||
Creatinine pre-OP | 0.15 | 0.02–0.90 | 0.04 | * | 1.04 | 0.95–1.15 | 0.36 | ns | 0.46 | 0.14–1.47 | 0.19 | ns |
GFR pre-OP | 0.98 | 0.96–1.00 | 0.08 | ns | 0.99 | 0.98–1.00 | 0.06 | ns | 0.99 | 0.97–1.00 | 0.10 | ns |
CRP pre-OP | 1.02 | 0.97–1.06 | 0.49 | ns | 1.02 | 0.99–1.05 | 0.30 | ns | 1.03 | 0.99–1.07 | 0.10 | ns |
Quick pre-OP | 0.98 | 0.96–1.01 | 0.12 | ns | 0.99 | 0.97–1.01 | 0.30 | ns | 0.98 | 0.96–1.00 | 0.04 | * |
PTT pre-OP | 0.98 | 0.90–1.07 | 0.70 | ns | 0.98 | 0.93–1.04 | 0.51 | ns | 0.99 | 0.92–1.06 | 0.81 | ns |
Platelets pre-OP | 1.00 | 1.00–1.00 | 0.64 | ns | 1.00 | 1.00–1.00 | 0.19 | ns | 1.00 | 1.00–1.00 | 0.49 | ns |
Haemoglobin post OP | 0.92 | 0.76–1.12 | 0.43 | ns | 0.81 | 0.71–0.92 | 0.001 | *** | 0.95 | 0.80–1.12 | 0.55 | ns |
Haemoglobin pre-OP | 1.09 | 0.89–1.33 | 0.42 | ns | 1.20 | 1.05–1.37 | 0.01 | ** | 1.11 | 0.93–1.33 | 0.23 | ns |
Surgery specific factors | ||||||||||||
Duration of surgery | 1.00 | 1.00–1.01 | 0.03 | * | 1.00 | 1.00–1.01 | 0.002 | ** | 1.00 | 1.00–1.01 | 0.20 | ns |
Spinal levels of surgery | 1.32 | 0.97–1.81 | 0.08 | ns | 0.73 | 0.56–0.97 | 0.03 | * | 0.68 | 0.50–0.92 | 0.01 | * |
Blood loss | 1.00 | 1.00–1.00 | 0.01 | ** | 1.00 | 1.00–1.00 | 0.81 | ns | 1.00 | 1.00–1.00 | 0.05 | * |
Instrumentation | 2.00 | 0.44–9.15 | 0.37 | ns | 1.25 | 0.43–3.60 | 0.68 | ns | 1.06 | 0.42–2.70 | 0.90 | ns |
Use of cement | 0.70 | 0.16–3.06 | 0.64 | ns | 0.95 | 0.29–3.17 | 0.93 | ns | 0.95 | 0.30–2.98 | 0.92 | ns |
Inpatient factors | ||||||||||||
Discharge not home | 0.60 | 0.30–1.23 | 0.16 | ns | 1.16 | 0.75–1.82 | 0.50 | ns | 0.96 | 0.63–1.46 | 0.86 | ns |
Length of stay | 1.03 | 0.99–1.07 | 0.17 | ns | 1.05 | 1.01–1.09 | 0.02 | * | 1.03 | 1.01–1.05 | 0.001 | *** |
Transfusion count | 1.06 | 0.65–1.73 | 0.82 | ns | 0.82 | 0.55–1.23 | 0.35 | ns | 1.22 | 0.86–1.72 | 0.27 | ns |