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Table 1 Demographics and clinical outcome of the patients

From: The statistical importance of P-POSSUM scores for predicting mortality after emergency laparotomy in geriatric patients

Variables

 

All included patients

(n = 157)

Alive after 90 days

(n = 111, 70.7%)

Dead in 90 days

(n = 46, 29.3%)

p*

Age (years), mean (SD)

 

75 (7)

74 (7)

79 (7)

< 0.001

Sex, n (%)

Female

78 (49.7)

54 (48.6)

24 (52.2)

0.821

Male

79 (50.3)

57 (51.4)

22 (47.8)

 

Cardiac condition, n (%)

No

56 (35.7)

42 (37.8)

14 (30.4)

0.485

Yes

101 (64.3)

69 (62.2)

32 (69.6)

 

Pulmonary condition, n (%)

No

97 (61.8)

70 (63.1)

27 (58.7)

0.740

Yes

60 (38.2)

41 (36.9)

19 (41.3)

 

Charlson index, mean (SD)

 

5.91 (2.30)

5.50 (2.12)

6.91 (2.44)

< 0.001

median [IQR]

 

6.00 [4.00, 7.00]

5.00 [4.00, 6.50]

6.00 [5.00, 8.75]

0.001

ASA class, n (%)

1

2 (1.3)

1 (0.9)

1 (2.2)

0.004

2

46 (29.3)

40 (36.0)

6 (13.0)

 

3

81 (51.6)

57 (51.4)

24 (52.2)

 

4

27 (17.2)

13 (11.7)

14 (30.4)

 

5

1 (0.6)

0 (0.0)

1 (2.2)

 

BMI (kg/m2), median [IQR]

 

24.5 [21.5, 27.1]

24.6 [21.3, 27.4]

24.4 [22.1, 26.0]

0.713

Heart rate (beats per minute), mean (SD)

 

87.01 (18.53)

86.71 (18.33)

87.74 (19.17)

0.753

Systolic blood pressure (mmHg), mean (SD)

 

129.48 (22.31)

132.10 (22.00)

123.17 (22.00)

0.022

Hemoglobin (g/L), mean (SD)

 

123.64 (22.45)

124.59 (22.32)

121.35 (22.82)

0.412

CRP (mg/L), median [IQR]

 

63.00 [20.00, 165.00]

58.00 [13.50, 172.00]

98.50 [48.50, 142.75]

0.100

Creatinine (μmol/L), median [IQR]

 

81.00 [64.00, 121.00]

76.00 [64.00, 114.50]

102.50 [65.25, 139.50]

0.064

Surgery indication, n (%)

Ileus/obstruction

92 (58.6)

67 (60.4)

25 (54.3)

0.266

Perforation

37 (23.6)

25 (22.5)

12 (26.1)

 

Ischaemia

12 (7.6)

6 (5.4)

6 (13.0)

 

Infection

4 (2.5)

4 (3.6)

0 (0.0)

 

Bleeding

4 (2.5)

2 (1.8)

2 (4.3)

 

Other

8 (5.1)

7 (6.3)

1 (2.2)

 

Number of operations, n (%)

1

109 (69.4)

79 (71.2)

30 (65.2)

0.761

2

35 (22.3)

22 (19.8)

13 (28.3)

 

3

9 (5.7)

7 (6.3)

2 (4.3)

 

4

3 (1.9)

2 (1.8)

1 (2.2)

 

5

1 (0.6)

1 (0.9)

0 (0.0)

 

Surgical procedure, n (%)

Resection with primary anastomosis

64 (40.8)

43 (38.7)

21 (45.7)

0.538

Adhesiolysis

24 (15.3)

19 (17.1)

5 (10.9)

 

Resection with stoma formation

38 (24.2)

24 (21.6)

14 (30.4)

 

Other

18 (11.5)

15 (13.5)

3 (6.5)

 

Primary raphy

10 (6.4)

8 (7.2)

2 (4.3)

 

Embolectomy without bowel resection

3 (1.9)

2 (1.8)

1 (2.2)

 

Cancer, n (%)

No

78 (49.7)

58 (52.3)

20 (43.5)

0.409

Yes

79 (50.3)

53 (47.7)

26 (56.5)

 

Blood Transfusion, n (%)

No

96 (61.1)

77 (69.4)

19 (41.3)

0.002

Yes

61 (38.9)

34 (30.6)

27 (58.7)

 

Physiology Score, mean (SD)

 

23.54 (6.56)

23.62 (5.98)

23.33 (7.86)

0.798

Operative Severity Score (points), mean (SD)

 

14.73 (2.93)

14.82 (2.79)

14.50 (3.26)

0.535

Morbidity POSSUM, median [IQR]

 

65.00 [48.80, 82.90]

66.40 [51.20, 82.90]

61.40 [43.08, 86.30]

0.322

Mortality POSSUM, median [IQR]

 

5.70 [2.80, 13.60]

5.70 [3.05, 12.95]

5.65 [2.50, 16.95]

0.518

Osteopenia, n (%)

No

88 (56.1)

71 (64.0)

17 (37.0)

0.003

Yes

69 (43.9)

40 (36.0)

29 (63.0)

 

Postoperative infection, n (%)

No

99 (63.1)

68 (61.3)

31 (67.4)

0.587

Yes

58 (36.9)

43 (38.7)

15 (32.6)

 

Postoperative heart failure, n (%)

No

147 (93.6)

105 (94.6)

42 (91.3)

0.682

Yes

10 (6.4)

6 (5.4)

4 (8.7)

 

Postoperative MI, n (%)

No

146 (93.0)

104 (93.7)

42 (91.3)

0.849

Yes

11 (7.0)

7 (6.3)

4 (8.7)

 

Postoperative arrhythmia, n (%)

No

125 (79.6)

93 (83.8)

32 (69.6)

0.073

Yes

32 (20.4)

18 (16.2)

14 (30.4)

 

Postoperative renal failure (dialysis), n (%)

No

145 (92.4)

106 (95.5)

39 (84.8)

0.049

Yes

12 (7.6)

5 (4.5)

7 (15.2)

 
  1. * Comparison between the alive and dead patients
  2. ASA, American Society of Anaesthesiology; BMI, body mass index; CRP, C-reactive protein; IQR, interquartile range; SD, standard deviation; MI, myocardial infarction