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Table 1 General preoperative characteristics of patients and their associations with PLOS (n = 4,495,582)

From: Association between postoperative complications and hospital length of stay: a large-scale observational study of 4,495,582 patients in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) registry

Preoperative Characteristics

N (%)

Median LOS (IQR)*

Risk-Adjusted Median LOS (IQR)*^

Risk-Adjusted Change in LOS (days)

Sex

 Female

2,531,936 (56.3)

3 (1–5)

2.9 (2.3–4.3)

Reference

 Male

1,963,646 (43.7)

3 (1–6)

3.2 (2.5–5.2)

 + 0.3

Race/Ethnicity

 American Indian or Alaska Native

24,340 (0.5)

3 (2–6)

2.3 (2.5–5.2)

-0.7

 Asian or Pacific Islander

130,498 (2.9)

3 (1–5)

3.0 (2.3–4.8)

 + 0.0

 Black, not of Hispanic origin

456,372 (10.2)

3 (2–6)

3.3 (2.5–5.6)

 + 0.3

 Hispanic origin

230,670 (5.1)

2 (1–4)

2.7 (2.1–4.1)

-0.3

 White, not of Hispanic origin

3,019,096 (67.2)

3 (2–5)

3.0 (2.3–4.6)

Reference

 Null/unknown

634,606 (14.1)

3 (1–5)

3.1 (2.4–4.8)

 + 0.1

Smoking within one year

 No

3,655,837

3 (1–5)

3.0 (2.3–4.6)

Reference

 Yes

839,745 (18.7)

3 (2–6)

3.3 (2.5–5.4)

 + 0.3

Functional health status prior to surgery

 Independent

4,266,622 (94.9)

3 (1–5)

2.9 (2.3–4.4)

Reference

 Partially dependent

179,109 (4.0)

5 (3–10)

6.3 (4.3–10.2)

 + 3.4

 Totally dependent

49,851 (1.1)

8 (4–16)

9.6 (6.1–17.6)

 + 6.7

Transferred status

 Admitted directly from home

4,227,105 (94.0)

3 (1–5)

2.9 (2.3–4.4)

Reference

 Acute care hospital

201,539 (4.5)

5 (3–10)

5.8 (3.6–10.0)

 + 2.9

 Chronic care facility

66,938 (1.5)

5 (3–10)

6.6 (4.5–10.2)

 + 3.7

Surgeon specialty

 General surgery

2,185,696 (48.6)

3 (2–6)

3.4 (2.4–5.7)

Reference

 Gynecology

251,631 (5.6)

2 (1–3)

2.1 (1.8–2.4)

-1.3

 Neurosurgery

255,275 (5.7)

3 (2–5)

3.3 (2.7–4.2)

-0.1

 Orthopedics

963,743 (21.4)

3 (2–3)

2.9 (2.5–3.5)

-0.5

 Otolaryngology

56,636 (1.3)

2 (1–4)

2.6 (2.2–3.3)

-0.8

 Plastics

53,235 (1.2)

3 (1–5)

2.9 (2.3–4.3)

-0.5

 Thoracic

77,900 (1.7)

4 (2–7)

4.5 (3.5–6.3)

 + 1.1

 Urology

210,058 (4.7)

2 (1–4)

2.6 (2.2–3.4)

-0.8

 Vascular

441,408 (9.8)

3 (1–6)

3.5 (2.5–5.8)

 + 0.1

Emergency status

 No

3,903,090 (86.8)

3 (1–5)

3.0 (2.4–4.4)

Reference

 Yes

592,492 (13.2)

4 (1–8)

4.1 (2.4–8.0)

 + 1.1

ASA classification

 I

224,866 (5.0)

1 (1–3)

1.8 (1.6–2.1)

Reference

 II

1,724,196 (38.4)

2 (1–4)

2.5 (2.1–3.4)

 + 0.7

 III

2,158,858 (48.0)

3 (2–6)

3.5 (2.7–5.4)

 + 1.7

 IV

373,838 (8.3)

6 (3–10)

6.3 (3.8–10.8)

 + 4.5

 V

13,824 (0.3)

8 (2–17)

9.8 (5.9–18.1)

 + 8.0

Preoperative Characteristics

Mean (SD)

Unadjusted Pearson Correlation Coefficient*

Risk-Adjusted Pearson Correlation Coefficient^

Age, years

59.4 (16.4)

0.125

-0.00025

Work relative value unit

19.8 (9.5)

0.194

-0.00056

CPT specific median length of stay

3.0 (2.3)

0.433

0.02242*

  1. Abbreviations: IQR Interquartile range, I normal health patient, II patient with mild systemic disease, III Patient with severe systemic disease, IV patient with severe systemic disease that is a constant threat to life, V A moribund patient who is not expected to survive without the operation
  2. ^ Risk-adjustment was accomplished using a negative binomial model with PLOS as the dependent variable and the preoperative variables and postoperative complications as the independent variables
  3. * All p values were < 0.0001