From: Predicting loss of independence among geriatric patients following gastrointestinal surgery
Factors | Overall (n = 6510) | Training (n = 5232) | Validation (n = 1278) | P-value |
---|---|---|---|---|
Male Sex | 2980 (45.8) | 2404 (45.9) | 576 (45.1) | 0.572 |
Race | 0.003 | |||
White Black or African American Asian American Indian or Alaska Native Native Hawaiian or Pacific Islander Unknown or Not Reported | 5318 (81.7) 614 (9.4) 75 (1.2) 15 (0.2) 2 (0.0) 486 (7.5) | 4266 (81.5) 472 (9.0) 62 (1.2) 13 (0.2) 1 (0.0) 418 (8.0) | 1052 (82.3) 142 (11.1) 13 (1.0) 2 (0.2) 1 (0.1) 68 (5.3) | |
Hispanic Ethnicity | 246 (3.8) | 207 (4.0) | 39 (3.1) | 0.128 |
Non-Elective Surgery | 1244 (19.1) | 991 (18.9) | 253 (19.8) | 0.486 |
Preoperative Use of a Mobility Aid | 1082 (16.6) | 854 (16.3) | 228 (17.8) | 0.191 |
Fall within the last year | 557 (8.6) | 453 (8.7) | 104 (8.1) | 0.551 |
Weight loss | 360 (5.5) | 285 (5.4) | 75 (5.9) | 0.555 |
Dyspnea | 0.010 | |||
No With moderate exertion At rest | 6019 (92.5) 460 (7.1) 31 (0.5) | 4859 (92.9) 353 (6.7) 20 (0.4) | 1160 (90.8) 107 (8.4) 11 (0.9) | |
History of COPD | 473 (7.3) | 377 (7.2) | 96 (7.5) | 0.706 |
Insulin dependent diabetes | 470 (7.2) | 376 (7.2) | 94 (7.4) | 0.835 |
Current smoking within the last year | 665 (10.2) | 541 (10.3) | 124 (9.7) | 0.500 |
Ventilator use within 48 h prior to surgery | 11 (0.2) | 10 (0.2) | 1 (0.1) | 0.703 |
Ascites | 31 (0.5) | 25 (0.5) | 6 (0.5) | 0.969 |
Hypertension treated with medication | 4212 (64.7) | 3377 (64.5) | 835 (65.3) | 0.596 |
Disseminated cancer | 624 (9.6) | 506 (9.7) | 118 (9.2) | 0.633 |
History of Congestive Heart Failure | 54 (0.8) | 41 (0.8) | 13 (1.0) | 0.409 |
Renal Failure | 14 (0.2) | 10 (0.2) | 4 (0.3) | 0.496 |
Dialysis | 31 (0.5) | 23 (0.4) | 8 (0.6) | 0.386 |
Wound infection | 100 (1.5) | 80 (1.5) | 20 (1.6) | 0.925 |
Steroid use | 365 (5.6) | 292 (5.6) | 73 (5.7) | 0.855 |
History of bleeding disorder | 287 (4.4) | 229 (4.4) | 58 (4.5) | 0.801 |
Transfusion with 1 or more units of pRBCs prior to surgery | 141 (2.2) | 113 (2.2) | 28 (2.2) | 0.945 |
Sepsis | 357 (5.5) | 282 (5.4) | 75 (5.9) | 0.5 |
Wound Classification | < 0.001 | |||
Clean or Clean Contaminated Contaminated Dirty | 5293 (81.3) 640 (9.8) 577 (8.9) | 4299 (82.2) 509 (9.7) 424 (8.1) | 994 (77.8) 131 (10.3) 153 (12.0) | |
American Society of Anesthesiologists class | 0.004 | |||
1 or 2 3 4 or 5 | 1795 (27.6) 4240 (65.1) 475 (7.3) | 1487 (28.4) 3377 (64.5) 368 (7.0) | 308 (24.1) 863 (67.5) 107 (8.4) | |
Age group | < 0.001 | |||
65–69 70–74 75–79 80–84 85–89 | 2054 (31.6) 1864 (28.6) 1307 (20.1) 838 (12.9) 447 (6.9) | 1699 (32.5) 1463 (28.0) 1020 (19.5) 699 (13.4) 351 (6.7) | 355 (27.8) 401 (31.4) 287 (22.5) 139 (10.9) 96 (7.5) | |
BMI group | 0.899 | |||
Normal BMI Underweight Overweight Obese Morbidly Obese Extremely Obese | 2052 (31.5) 166 (2.5) 2329 (35.8) 1243 (19.1) 476 (7.3) 244 (3.7) | 1658 (31.7) 133 (2.5) 1869 (35.7) 986 (18.8) 388 (7.4) 198 (3.8) | 394 (30.8) 33 (2.6) 460 (36.0) 257 (20.1) 88 (6.9) 46 (3.6) | |
Preoperative HCT < 37 | 2557 (39.3) | 2043 (39.0) | 514 (40.2) | 0.442 |
Preoperative sodium < 135 | 433 (6.7) | 341 (6.5) | 92 (7.2) | 0.381 |
Preoperative BUN > 22 | 1194 (18.3) | 950 (18.2) | 244 (19.1) | 0.439 |
Preoperative creatinine > 2 | 131 (2.0) | 107 (2.0) | 24 (1.9) | 0.703 |
Preoperative WBC > 11 | 685 (10.5) | 558 (10.7) | 127 (9.9) | 0.447 |
Preoperative albumin < 3.4 | 880 (13.5) | 730 (14.0) | 150 (11.7) | 0.038 |