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Table 3 Unadjusted and risk-adjusted association between in-hospital postoperative complications and 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

Postoperative Complication

N (%)

Unadjusted Median LOS, days (IQR)*

Unadjusted Change in LOS, days

Risk-Adjusted Median LOS, days (IQR)*^

Adjusted Change in LOS, days

Any Complication

 No

3,895,578 (86.7)

2 (1–4)

Reference

N/A

N/A

 Yes

600,004 (13.4)

8 (4–14)

 + 6

N/A

N/A

Pneumonia

 No

4,424,945 (98.4)

3 (1–5)

Reference

3.0 (2.4–4.6)

Reference

 Yes

70,637 (1.6)

14 (8–24)

 + 11

16.7 (9.1–32.7)

 + 13.7

Unplanned Intubation

 No

4,442,332 (98.8)

3 (1–5)

Reference

3.0 (2.4–4.6)

Reference

 Yes

53,250 (1.2)

15 (8–26)

 + 12

17.3 (8.8–34.2)

 + 14.3

Prolonged Ventilator Use

 No

4,416,896 (98.3)

3 (1–5)

Reference

3.0 (2.3–4.6)

Reference

 Yes

78,686 (1.7)

18 (11–29)

 + 15

23.1 (14.3–39.3)

 + 20.1

Septic Shock

 No

4,443,855 (98.9)

3 (1–5)

Reference

3.0 (2.4–4.6)

Reference

 Yes

51,727 (1.1)

15 (8–26)

 + 12

18.7 (10.8–34.0)

 + 15.7

Sepsis

 No

4,409,471 (98.1)

3 (1–5)

Reference

3.0 (2.3–4.6)

Reference

 Yes

86,111 (1.9)

11 (6–19)

 + 8

12.9 (7.3–22.9)

 + 9.9

Superficial SSI

 No

4,459,855 (99.2)

3 (1–5)

Reference

3.0 (2.4–4.6)

Reference

 Yes

35,727 (0.8)

12 (8–19)

 + 9

13.2 (8.9–22.1)

 + 10.2

Deep Incisional SSI

 No

4,481,230 (99.7)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

14,352 (0.3)

15 (9–25)

 + 12

16.8 (10.2–31.3)

 + 13.8

Organ Space SSI

 No

4,448,271 (99.0)

3 (1–5)

Reference

3.0 (2.4–4.6)

Reference

 Yes

47,311 (1.0)

17 (11–26)

 + 14

19.0 (11.2–34.1)

 + 16

Wound Disruption

 No

4,483,692 (99.7)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

11,890 (0.3)

19 (12–28)

 + 16

22.4 (11.7–44.9)

 + 19.4

Urinary Tract Infection

 No

4,455,101 (99.1)

3 (1–5)

Reference

3.0 (2.4–4.6)

Reference

 Yes

40,481 (0.9)

11 (6–19)

 + 8

11.9 (7.4–22.3)

 + 8.9

Deep Venous Thrombosis/Thrombophlebitis

 No

4,473,129 (99.5)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

22,453 (0.5)

15 (9–24)

 + 12

15.9 (8.7–32.8)

 + 13.9

Pulmonary Embolism

 No

4,483,644 (99.7)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

11,938 (0.3)

11 (7–19)

 + 8

11.8 (6.7–24.6)

 + 8.8

Cardiac Arrest Requiring CPR

 No

4,476,856 (99.6)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

18,726 (0.4)

7 (2–15)

 + 4

8.6 (5.1–16.4)

 + 5.6

Myocardial Infarction

 No

4,476,254 (99.6)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

19,328 (0.4)

9 (6–16)

 + 6

10.4 (6.4–19.6)

 + 7.4

Bleeding Requiring Transfusion

 No

4,162,382 (92.6)

3 (1–5)

Reference

2.9 (2.3–4.3)

Reference

 Yes

333,200 (7.4)

6 (4–10)

 + 3

6.8 (4.4–11.2)

 + 3.9

Progressive Renal Insufficiency

 No

4,482,760 (99.7)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

12,822 (0.3)

13 (7–21)

 + 10

14.4 (7.9–29.8)

 + 11.4

Acute Renal Failure

 No

4,477,336 (99.6)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

18,246 (0.4)

16 (8–27)

 + 12

20.1 (10.8–37.6)

 + 17.1

Cardiovascular Accident/Stroke with Neurologic Defect

 No

4,485,535 (99.8)

3 (1–5)

Reference

3.0 (2.4–4.7)

Reference

 Yes

10,047 (0.2)

10 (6–18)

 + 7

11.7 (6.5–25.3)

 + 8.7

  1. Abbreviations: IQR interquartile range, CPR cardiopulmonary resuscitation, LOS postoperative length of stay, SSI surgical site infection
  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