Copyright
©The Author(s) 2019.
World J Gastroenterol. Oct 14, 2019; 25(38): 5838-5849
Published online Oct 14, 2019. doi: 10.3748/wjg.v25.i38.5838
Published online Oct 14, 2019. doi: 10.3748/wjg.v25.i38.5838
Table 2 Association of prolonged postoperative ileus with background, operative, and postoperative variables in bivariate analysis and in multivariable models
| Variable | Category | Number (%) with PPOI | Univariate OR(95%CI) | P value | Multivariable OR (95%CI) | P value |
| Sex | Female | 9/38 (23.7) | 1.36 (0.57, 3.27) | 0.487 | — | — |
| Male | 23/124 (18.5) | Ref. | — | — | — | |
| Age (yr) | Continuous variable | — | 1.05 (1.01, 1.09) | 0.009 | — | — |
| ≤ 60 | 12/88 (13.6) | 0.43 (0.19, 0.95) | 0.033 | Ref. | 0.030 | |
| > 60 | 20/74 (27.0) | Ref. | — | 2.70 (1.10, 6.66) | — | |
| BMI (kg/m2) | Continuous variable | — | 0.91 (0.81, 1.02) | 0.110 | — | — |
| ≤ 24.66 | 17/78 (21.8) | 1.02 (0.42, 2.49) | 0.529 | — | — | |
| > 24.66 | 15/84 (17.9) | Ref. | — | — | — | |
| Previous abdominal surgery | No | 27/131 (15.1) | 1.35 (0.47, 3.85) | 0.573 | — | — |
| Yes | 5/31 (16.1) | Ref. | — | — | — | |
| Operation method | Open surgery | 18/63 (20.6) | 2.44 (1.11, 5.26) | 0.025 | 3.45 (1.33, 9.09) | — |
| Laparoscopic surgery | 14/99 (14.1) | Ref. | — | Ref. | 0.010 | |
| Operation time (min) | Continuous variable | — | 0.99 (0.99, 1.00) | 0.532 | — | — |
| ≤ 236.4 | 16/89 (18.0) | 0.78 (0.36, 1.69) | 0.531 | — | — | |
| > 236.4 | 16/73 (21.9) | Ref. | — | — | — | |
| Intraoperative blood loss (mL) | Continuous variable | — | 1.00 (0.99, 1.00) | 0.693 | — | — |
| ≤ 229.4 | 16/87 (18.4) | 1.02 (0.42, 2.49) | 0.639 | — | — | |
| > 229.4 | 8/75 (21.3) | Ref. | — | — | — | |
| Blood transfusion | No | 23/131 (17.6) | 0.52 (0.21, 1.28) | 0.149 | — | — |
| Yes | 9/31 (29.0) | Ref. | — | — | — | |
| Surgical procedure | Total gastrectomy | 21/85 (24.7) | Ref. | — | — | — |
| Proximal gastrectomy | 3/21(14.3) | 0.51 (0.14, 1.89) | 0.314 | — | — | |
| Distal gastrectomy | 8/56 (14.3) | 0.51 (0.21, 1.25) | 0.138 | — | — | |
| lymph node dissection | D1+ | 5/40 (12.5) | Ref. | — | — | — |
| D2 | 27122 (22.1) | 1.99 (0.71, 5.59) | 0.191 | — | — | |
| Tumor stage | I-II | 12/89 (13.5) | 0.41 (0.19, 0.92) | 0.027 | Ref. | 0.010 |
| III-IV | 20/73 (27.4) | Ref. | — | 3.23 (1.32, 7.90) | — | |
| Postoperative body temperature (°C) | Continuous variable | — | 0.99 (0.47, 2.05) | 0.969 | — | — |
| ≤ 37.6 | 19/97 (19.6) | 0.97 (0.44, 2.14) | 0.948 | — | — | |
| > 37.6 | 13/65 (20.0) | Ref. | — | — | — | |
| Postoperative WBC count (×109/L) | Continuous variable | — | 1.04 (0.92, 1.17) | 0.572 | — | — |
| ≤ 12.76 | 18/82 (22.0) | 1.33 (0.61, 2.89) | 0.477 | — | — | |
| > 12.76 | 14/80 (17.5) | Ref. | — | — | — | |
| Postoperative albumin (g/L) | Continuous variable | — | 0.83 (0.72, 0.95) | 0.007 | — | — |
| ≤ 31.93 | 21/86 (24.4) | 1.91 (0.85, 4.28) | 0.113 | — | — | |
| > 31.93 | 11/76 (14.5) | Ref. | — | — | — | |
| Postoperative K+ (mmol/L) | Continuous variable | — | 0.26 (0.08, 0.81) | 0.020 | — | — |
| ≤ 3.75 | 20/85 (23.5) | 1.67 (0.75, 3.69) | 0.205 | — | — | |
| > 3.75 | 12/77 (16.0) | Ref. | — | — | — | |
| Postoperative opioid analgesic | No | 12/100 (12.0) | 0.29 (0.13, 0.64) | 0.002 | Ref. | < 0.001 |
| Yes | 20/62 (32.3) | Ref. | — | 5.84 (2.25, 15.16) | — | |
| Postoperative opioid analgesic | No | 12/100 (12.0) | 0.002 | 0.29 (0.13, 0.64) | — |
- Citation: Liang WQ, Zhang KC, Cui JX, Xi HQ, Cai AZ, Li JY, Liu YH, Liu J, Zhang W, Wang PP, Wei B, Chen L. Nomogram to predict prolonged postoperative ileus after gastrectomy in gastric cancer. World J Gastroenterol 2019; 25(38): 5838-5849
- URL: https://www.wjgnet.com/1007-9327/full/v25/i38/5838.htm
- DOI: https://dx.doi.org/10.3748/wjg.v25.i38.5838